File:American practice of surgery; a complete system of the science and art of surgery (1906) (14770934525).jpg

Identifier: americanpractic02brya (find matches)
Title: American practice of surgery ; a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914, ed Buck, Albert H. (Albert Henry), 1842-1922
Subjects: Surgery
Publisher: New York, W. Wood and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
to fall. The alopecia mayeven become general and very marked. EXPLANATION OF PLATE XVI. This plate represents the left side of the neck and the upper part of the back of a man, forty-twoyears of age, who was affected with Acanthosis Nigricans. Note the exaggerated folds and creasesof the darkly pigmented skin and the presence of numerous disseminated papillomatous elevationssome of which retain the form of isolated rounded eminences, while others are grouped together incauliflower-like masses. The patient, during the previous three years, had lost considerable flesh. The abnormal pigmenta-tion of the skin had first been observed about five months before the time when the cast from which thepicture was taken had been made by Baretta. Simultaneously with the appearance of the skin lesions,evidences of a cancer of the left lobe of the liver were discovered. (For further details consult tneAnnales de Dermatologie et de SyphUographie, 1896, p. 276.) American Pkactige of Suegert Plate XVI,
Text Appearing After Image:
ACANTHOSIS NIGRICANS(From La Pralique Dermatologique, Masson et Cie, Editeurs, Paris.) SURGERY OF DISEASES OF THE SKIN. 389 The disease is usually syinnictrical, and among the favorite situations forits development may be mentioned the back of the neck and the contiguousportions of the scalp, the mammary region, around the navel, around the pri-vates, including the anal region, and the axilUT. Treatment.—If the disease which interferes ^Yith the great nutritive organscan be cured, the dystrophy of the skin will disappear, as happened in a caseof Spietschkas, where the acanthosis nigricans cleared up after the removal ofa malignant deciduoma. When the affection is due to alcoholism it may clearup when the use of alcohol is stopped. In one instance the disease improvedunder the use of epinephrin (Boeck). Frequent bathing, with the use of sali-cylic acid, resorcin, menthol, phenol, or naphthol soaps, may do much to clearoff the hyperkeratotic epithelium and relieve the itchiness from w

Note About Images