ILLUSTRATIONS (Continued) Pape CHAPTER 3 a. 1 SKIN LESIONS, EPILATION, AND NAIL PIGMENTATION Comparison of the Incidence and Time of Appearance of Epilation and Neck Gesions in the Rongelap and Ailinginae Groups 37 Color Piates 3. 1 2 3 40 5 6 Ww oo .7 8 8 10 lt 2 1S) 14 -15 Barty Hvperpigmented Maculopapular Neck Lesions at 15 Days, Case 30, Aye 15. F. . . . ee Neck Lesions at 28 Days. Wet Desquamation. White Colog ts Calamine Lotion. Case 78, Age 3T, F. . Repipmentings Superficial Neck Lesions at 40 Days. Hyperpigimevnted Areas not Completely Desquamatied. Case 24, Age 15, F . Healed Neck Lesions a4 77 Days Showing Dusky Pimentation of Back of Neck. Case 39, Age 15 F. Hyperpagmented Raised Plaques and Bullae on Dorsum of Feet and Toes at 28 Days. One Lesion on Left Foot Shows Deeper Involvement. Feet were Painful at This Time. Lesions 10 Days Later. Bullae Have Broken, Desquamation is Essentially Complete, and Lesions Have Healed. Feet no Longer Painful . Lesions 6 Days Later Showing Repigmentation Except for Small Scar on Dorsum uf Left Foot at Site of Deepest Lesion Extensive Lesions in Boy, Age 13, Case 26. Extensive Lesions in Boy, Age 13, Case 26 Whole Body View of Lesions in Same Case as Plates 3. 8- 3. 9 Whole Body View of Lesions in Same Case as Plates 3.8-3.9 Desquamation of Back of Scalp at 28 Days. Epilation Occurred | Rarher in Desquamated Area. (See Plate 3.14.) Note Persistent Ulceration of Left Ear. . . Bightceen Days Later. Scalp Lesions Have Healed With Repigmentation of Skin. No Hair Growth Evident in Epilated Areas. Ear Ulceration Persists With Little Improvement. . Epilation in Man at 18 Days. Case 79, Age 41. Scalp Lesions Present in Areas of Epilation. (Same Case asin Plates 3.12 and 3.13.) . Spotty Epilation in Boy, Age 13, at 28 Days. Case 26. Note Scalp 47 (ir) 47a) Tar) 47 (a) 49(b) 49(b) 49(b) 51(c) 51(c) 5S3Xcl) 53(c7) 35(d) 55(d) 51e) dT(e) 57(e) Lesions in Areas ofgjjiation. (Same Case as in Plates 3.8 -3.11.) 16 Epilation in 7 Yr. omen at 28 Days. Case 72. . .17 Pigmented Bands in Semilunar Area of Fisgernails at 77 Days . IT (e) .18 (X100, H&E) Epidérepis: Betengive Transepidermal Damage.)With 59(/) Less Involved Zonew-gn Either Side 19 (X100, H&E) Epidermis: Arcades of Minimal Damage Occur in 59(/) Relation to Excretory Ducts of Sweat Glands. . 20 (X400, H&E) (Case 12g) Transepiderma! Damage WithDisorganization of the Malpighian Layér .21 (KX100, H&E) (Case #63) 59(/) . Transepidermal Damage With Disorganization 59(7) of the Malpighian Layer, . . . . . . . . 22 (X100, H&E) (Case #75) Loose Lamination of Stratum Corneum With Outward Papillary Projections and Resultant “Rugose” Appearance 23 (X400, H&E} (Case #75) Sameas 3.22. Occasional Perinuclear Cytoplasmic Halos in Mid Stratum Granulosum . . .24 (X100, H&E) (Case #39} 61(1) 61 (7) Narrow Ruguse Epidermis with Papillary 61(p) Extensions Downward of Stratum Malpighil et % mal - onus~~ -- wc “ wy wes‘oe * re * 7 awe eo «3 ' . 2 re - Det oe a -*