File:The British journal of dermatology (1888) (14578894589).jpg

Identifier: britishjournalof26brit (find matches)
Title: The British journal of dermatology
Year: 1888 (1880s)
Authors: British Association of Dermatology
Subjects: Dermatology Syphilis
Publisher: London H.K. Lewis (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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large portion of the scalp was replaced by sound scar-tissue uponwhich the growths had never appeared. The recent phases of thedisease were represented by very numerous hemispherical projections,the smallest of which were the size of a split-pea. By the aggregationof these, large tuberous masses were forined, which ulcerated, fungatedand discharged slightly. As can be seen in the photograph, the largestof the masses were situated in the right supra-orbital region and in thepre- and post-aural regions. There were nowhere present any of the ROYAL SOCIETY OF .MEDICINE. 153 changes, either erythi-odermic^ lichenoid, psoriasifonii, or eczeiiiatoid,which could be regarded as a pre-mycosic condition. Jhere was noenlargement of the spleen nor of the inguinal, cervical or axillarylywiphfitic glands. The patient coniplained of intense itching in thetumours on the face and scalp. He was in good general condition,his urine presented no abnormality, and he sliowed neither signs nor Fig. 7.
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symptoms of any visceral disease. Three weeks ago he received threefull pastille doses of the X-rays. Although their microscopical and bacteriological examination wasnot yet complete, the President was at liberty to state that the growths—a large mass of which, conspicuous in the photograph shown, wasexcised for this purpose—Avere pure granulomata containing largenumbers of streptococci; but apart from these no specific recognisedpathogenic micro-organism had been detected in them. Dv. Pernet considered the case was one of Mycosis fungoides demblee.He read a paper on a case treated by salvarsan, at tlie International MedicalCongress last year, and stated therein his view tbat salvarsan apparentlyaggravated the condition. He liad found tbat patients suffering from Mycosis 154 EOYAL SOCIETY OF MEDICINE. fungoides frequently had a history of longevity in one or both parents, and heasked if it was so in this case. The President replied that the mans father died at the age of eighty-th

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