I just love Victorian patch boxes and I’m always looking for them. The difference in a pill box and a patch box is the little mirror inside the lid. Also patch box lids are generally hinged. During Victorian times Small Pox was prevalent. Rather than have a scar on their face the ladies would cover them with an artificial mole.There are so many idiosyncrasies I could tell you about our female forebears. Some boggle the mind. We have come a long way ladies. Although this little gem is made of brass, not sterling silver, it is my favorite. The enamel work on lid is pretty and flawless, as is the internal mirror. It could be used as a pillbox and would certainly impress your friends when pulled from your handbag.