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A 49-year-old man with liver disease developed a unilateral telangiectatic lesion over the left trigeminal and left C3, C4, C5, and T1 dermatomal areas. This case fulfills the criteria for unilateral nervoid telangiectatic syndrome (UNTS), and as such represents the 11th reported case of UNTS and the first case, to our knowledge, of visceral involvement associated with a similar vascular malformation. A hemorrhagic tendency is present in this syndrome when there is gastrointestinal involvement.

To the Editor.— Lichen sclerosus et atrophicus (LSA) is a skin disease that begins as papules that may coalesce to form plaques and eventually become atrophic white spots. 1 Although reports of verrucous plaques have been noted, 2 this is uncommon. We report the following case to emphasize this unusual clinical presentation and to document the occurrence in a vaccination site. Report of a Case.— A 13-year-old girl was seen on May 21, 1975, for evaluation of her vaccination site. She had been vaccinated at age 2 years and revaccinated at age 6 years. The initial lesion appeared a few months following revaccination and remained unchanged until two years prior to evaluation, when it enlarged and several discrete but similar new lesions appeared. Physical Examination.— Four discrete, elevated, verrucous hyperpigmented plaques were distributed over the left deltoid area. The largest annular lesion measured 3 cm in diameter and surrounded an

A 49-year-old man with liver disease developed a unilateral telangiectatic lesion over the left trigeminal and left C3, C4, C5, and T1 dermatomal areas. This case fulfills the criteria for unilateral nevoid telangiectatic syndrome (UNTS), and as such represents the 11th reported case of UNTS and the first case, to our knowledge, of visceral involvement associated with a similar vascular malformation. A hemorrhagic tendency is present in this syndrome when there is gastrointestinal involvement.

To the Editor.— Penile nodulocystic lesions are rarely mentioned in standard dermatologic texts. Reports of the occurence of such lesions are also rare in the dermatologic literature. The purpose of this report is to describe a patient with a urethral diverticulum, an entity that to our knowledge has not been described previously in recent dermatologic literature. Report of a Case.— A 16-year-old uncircumcised youth came to the Dermatology Clinic for evaluation of a urethral discharge of three day's duration and a penile mass. The penile lesion was said to have been present for approximately three years. It did not change in size with micturition, although the patient did have symptoms of recurrent mild urethritis. The patient denied having had previous urologic instrumentation or neurologic dysfunction. Physical examination showed there was a yellow-green, purulent urethral discharge. A Gram stain of the discharge disclosed numerous Gramnegative intracellular diplococci compatible with Neisseria gonorrhoeae