SCLERIASIS (SCLEREDEMA ADULTORUM) AS FIRST DESCRIBED BY PIFFARD

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This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. To the Editor:— Recently I acquired a copy of Henry G. Piffard's "An Elementary Treatise on Diseases of the Skin, for the Use of Students and Practitioners" (New York, Macmillan & Co., 1876). Concerning this remarkable volume I quote from Bechet's article in the Archives (45:482 [March] 1942), "The Early History of American Dermatology": "In 1876 Piffard published his book, the second textbook on diseases of the skin published in America and by no means elementary, as the modest title suggested. It was a masterly treatise, giving a complete summation of the dermatologic views up to that time interspersed with Piffard's own valuable opinions." The appropriateness of these remarks can readily be confirmed by the following illustration of Piffard's keen powers of observation. Chapter 39 of his treatise is headed "Scleroderma—Scleriasis." In the opening paragraph the author expresses the opinion that among the large number of reported cases of

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