Mittelmann describes his findings in the case of a fifty-one-year-old married woman suffering from hypertension, depression, itching, dermatitis and angioneurotic edema. After one and a half years of treatment, Mittelmann was able to determine that the cutaneous symptoms were correlated with the patient's pathological need for love and care, her anxieties and hostilities. He establishes the fact that guilt feelings, fear of abandonment, erotization of the skin and depression were all interrelated in the clinical picture. However, in this brief paper he does not amplify sufficiently the conflicts around exhibitionism and the connection between cutaneous eroticism and the oral phase of libidinal development.