In 1914, Hartzell1reviewed the twenty-two cases of colloid milium reported in the literature, and added one case of his own. Since this report Milian2and Ketron3have described two additional cases, and Trimble has presented one before the New York Dermatological Society. Hartzell placed all reported cases in three groups. The histopathologic picture in patients in the first two groups was essentially the same. The clinical manifestations were unlike in that the first group consisted of cases showing the typical papules over the malar eminences, nose and dorsa of the hands, while the second group included atypical forms in which the histopathologic picture simulated that found in the first, but the objective appearance varied. The so-called colloidoma ulcerosum was placed by Hartzell in the second group. The case which I report might justify a similar name, although the clinical appearance of the lesion at the time