An interest in the uncommonly occurring entity of lichen myxedematosus (papular mucinosis) began for one of us (J.E.D.) when he was consulted in October, 1939, by a woman with a then clinically unrecognized unusual asymtomatic chronic skin eruption of one year's duration. With the aid of histological studies done separately both by Dr. Fred Weidman and Dr. Hamilton Montgomery, these papules were found to contain accumulations of mucin deposits which produced the observed papulation. That case was presented at the 1940 meeting of The Mississippi Valley Dermatological Society in Cincinnati, Ohio, and published in the Archives of Dermatology and Syphilology with the transactions of that meeting in 1941 under a diagnosis of Generalized Localized Myxedema.1 However, a later survey of world dermatological literature revealed similar cases presented under the diagnosis of lichen myxedematosus. This prompted one of us (J.E.D.) with a coworker, Dr. Martin Seidell, to study this case