No. 7 PROCEEDINGS AND TRANSACTIONS 499

When one evaluates photographs of cases in the literature,one sees actinic keratoses and squamous cell carcinomata onthe extensor surfaces of the fingers—exactly where thepoikiloderma is located on today's patient.

The prime differential diagnosis here is dermatomyositis andpossibly lupus erythematosus. Other considerations areBloom's syndrome, Cockayne's syndrome, dyskeratosis con-gentia, progeria, and ataxia-telangiectasia. This latter group,however, usually possesses other significant symptoms in addi-tion to dwarfism.

Immunofluorescence in this case seems to imply that RTS isa lupus-like syndrome; it is of interest to recall that 3% ofpatients with DLE may develop carcinoma in scars—possibleanalogue of RTS.

E. BoNDi, M.D.: I would not put too much diagnostic impor-tance on the immunofluorescence. I followed a fairly classiccase of dermatomyositis with underlying malignancy; the pa-tient had negative immunofluorescence on skin biopsy. Animmunofluorescent biopsy of a Gottron's papule showed apattern of IgG and C3 at the dermoepidermal junction. I havenot had an opportunity to biopsy other Gottron's papules, but Iwould not be too certain that a positive immunofluorescenceeliminates the diagnosis of dermatomyositis.

P. KOBLENZER, M.D.: Do you think this is a case of dermato-myositis?

E. BoNDi, M.D.; Not necessarily, but it is still a consideration.

P. KOBLENZER, M.D.: There is a certain type of positive immuno-fluorescence in poikiloderma, but it is in the dermis, notin the dermoepidermal junction.

E. BoNDi, M.D.: This implies that perhaps immunofluorescencein such lesions can be used as a way to differentiate RTS fromdermatomyositis in this age, and I would be hesitant to do thison the basis of my limited experience.

P. HoNic, M.D.: Children can present with skin findings ofdermatomyositis without associated abnormalities such asmuscle weakness and elevated muscle enzymes.

Drug Names

clomiphene: Clomidconjugated estrogens: Premarinmenotropins: Pergona

Reported byJohn W. Petrozzi, M.D.

Chinese Dermatological Society

1983 Annual Meeting

Dermatology in Taiwan was originally established in theform of dermatourology about 50 years ago. Dermatology hasbeen an independent science here for 20 years. In 1973, theChinese Dermatological Society was organized in Taipei. All

the members of this society are requested to have at least 2years' dermatologic training at a qualified teaching hospitaland must pass the board examination. At present, the totalnumber of members of this society is about 120. This is notenough in comparison with the population of 18 million inTaiwan.

There are two national academic activities under the super-vision of the Chinese Dermatological Society—the annualmeeting in Taipei and a regional meetingoutsideof Taipei. TheChinese Dermatological Society has its official publication,Dermatologica Sinica (Taipei). For many years, the members of'this society have participated in many international activitiesand have invited many dermatologists from foreign countries.Formal international communication has been establishedonly in recent years. The main international activities that theChinese Dermatological Society has been involved in are the16th International Dermatological Congress (Tokyo) in 1982and the 1983 annual meeting of the Chinese DermatologicalSociety, Taipei.

This 1983 annual meeting in Taipei was a m i n i -international dermatologic academic meeting. The president ofthis meeting was Dr. Chu-Kwan Wong, professor and chair-man. Department of Dermatology, National Yang-Ming Medi-cal College. Twenty-two dermatologists from the United King-dom, the United States, France, Japan, and Hong Kong wereinvited. The main speakers and the special lectures were asfollows; Prof. J. Civatte (Paris), "Some French Concepts in andContribution to Dermatopathology"; Dr. C. H. Hu (Stanford),"Therapeutic Strategy for Psoriasis; 1983"; Dr. T. J. Ryan (Ox-ford), "The Classification and Management of Vasculitis"; Dr.R. Hayakawa (Nagoya), "Cosmetics and the Skin"; Dr. C. S.Leung (Hong Kong); "Post-graduate Training in Dermatology";Prof. M. Takahashi (Sapporo), "Nevus Pigmentosus—Clinical,Histological, and Electron-microscopic Characteristics"; andDr. C. R. White (Portland), "Granuloma." Besides the casereports by this country's lecturers, three important topics con-cerning regional skin diseases in Taiwan were discussed. Thesewere: "Cutaneous Amyloidosis" from National Yang-MingMedical College, "Polychlorinated Biphenyls (PCB) Poison-ing" from Veterans General Hospital, "Status of Immunosup-pression in Patients with PCB Poisoning" from NationalTaiwan University, and "Skin Manifestations of Chronic Arse-nism" from Kao-hsiung Medical College.

Besides these academic activities, two other highlights canbe noted. First, Vice President Shieh Tong-Ming attended theopening ceremony and delivered a congratulatory speech. Thispart of the meeting was televised. Second, the meeting washeld in the Veterans General Hospital. Although not as relaxingas a first-class hotel, the meeting hall was most suitable. Be-tween every two seats there were microphones that memberscould use to discuss the issues. Chinese-English translationwas provided. Following the meeting, a banquet was held inhonor of the members in the hospital restaurant. The locationof the meeting made the members feel as if they were attendinga true academic meeting, not simply a social occasion.

Although the Chinese Dermatological Society has only abrief history and few members, this society has been develop-ing gradually. This society actively participates in communica-tion with societies of other nations. It is our desire to contributemore to the international community.

Reported byHsin-Su Yu, M.D.