Piedra: report of a fifth case originating in the U.S.A.

A survey of the literature brings to light only four previous cases diagnosed as piedra originating in the U. S. A. This would seem to justify reporting the following case. Report of a Case The child of an "average" urban (Raleigh) family, a white girl of 4 years without siblings, was first seen in July, 1957. Her mother reported that one week previously she had noted "dark objects" attached to several hairs of the "bangs." There were no symptoms and no treatment had been employed. Children in the neighborhood had not had a similar affliction, nor had the patient been on a trip. According to the referring pediatrician, the child had always been in good health except for profound anemia at birth, apparently permanently corrected by one blood transfusion. Normal development had followed and the usual laboratory examinations were normal. Cutaneous Findings .—Cutaneous examination was normal except for the