File:Interstate medical journal (1909) (14597351047).jpg

Identifier: interstatemedica1619unse (find matches)
Title: Interstate medical journal
Year: 1909 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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ther trouble of thischaracter. The right foot was never affected. This case is strikingly interesting and unique as it presents in oneindividual, at the same time, three cutaneous conditions, namely:psoriasis, lupus erythematosus, and a peculiar disturbance, undoubtedlyof vascular origin, of one of the extremities. Pringle3 and Cox4 bothreport a case in which there was an association of Raynauds phenomenawith lupus erythematosus. Whether the gangrenous phenomena in ourcase can be placed with what is termed Raynauds phenomena is a ques-tion. We have, however, so called it, as we feel that we can, as othershave done, take this liberty. It is interesting here to note and to dwell,in thought, over the most excellent work of Corlett and Schultz5 whofound that the symptoms of parapsoriasis were due primarily to vascularchanges, which may occur in other organs than the skin. They cite thecase of C. J. White,0 in which there was an obliterative arteritis of the 270 INTERSTATE MEDICAL JOURNAL.
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Case IV. Pig. 4. ENGMAN ANDMOOK: LUPUS ERYTHEMATOSUS 271 arterioles associated with parapsoriasis, in which gangrene of a toeoccurred. Case II. Lupus Erythematosus and Psoriasis. Thomas C, aged25, applied at the Skin and Cancer Hospital, February 10, 1908. Familyhistory of no consequence. No tuberculosis. His skin trouble began onthe right cheek under eye, as a red spot, with no subjective symptoms.The lesion soon became scaly and grew rapidly in size. These char-acteristics had never changed, except to extend peripherally. In a fewmonths a second similar lesion appeared on the left cheek under the eye,but did not enlarge. This winter he applied court plaster to the lesionon the right cheek and it became red and irritated. Last September henoticed red, scaly placques appearing on the right side of his chest;similar ones soon appeared over the body, arms, thighs and scalp. Theeruption over these areas was that of a typical psoriasis. On the rightand left eyebrow there was a typical lup

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