File:The British journal of dermatology (1888) (14594644249).jpg

Identifier: britishjournalof34brit (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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l seen in the photographs.Many sessile masses of fibrous material could be felt on the trunk,flanks and shoulders, which, when picked up between the finger andthumb, gave the sensation of small collections of worms. They were, as a rule, painless under manipulation, but he hadoften complained of a sensation like an electric shock when one orother part of his skin was touched, which, I understand, was entirelyhis own simile. One of these tumours was removed, and describedby the pathologist as fibroma with some hypertrophy (papillo-matous) of the epideimis. The hair was very strong and coarse, the nails brittle. His mind was acute, he was thoughtful for his age and took agood place in his school. At games he was bad, readily liable toheadache and fatigue. In short, apart from his large clumsy bulk,frequent headache when tired from work or play was the onlycomplaint. Physical examination did not reveal any signs of disease beyondthose enumerated. The heart, lungs, kidneys and viscera all
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VON Recklinghausens disease. 241 appeared normal. Special attention was given to the ductlessglands. There was no evidence of supra-renal growth; the thyroidwas not enlarged. The eyesight was good, there was no optic atrophy, and no dimi-nution in the fields of either eye. An X-ray of the skull showed a well-defined sella turcica, ofnormal size. His bones were large but healthy, and there were well-marked gaps between his permanent incisors. The subsequent history of the boy is of interest. He has taken thyroid extract 2h grains every night, and hasremained the same weight during the past six months. In April he had mumps, and in spite of my anticipating trouble,and taking every care, he had a definite orchitis and was quite ill. But the most interesting feature in the case is, that nearly all thesessile fibrous tumours in the skin have entirely disappeared, and onecan only find an occasional ill-defined fibroma in the flanks, and thatwith difficulty. My own diagnosis was von Reckling

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