File:Tri-State medical journal and practitioner (1897) (14776081574).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
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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omes positivelyfrantic. It is most irregular in the periods of its manifestations, and it isthis very uncertainty as to its appearance that keeps the subject in a con-stant state of fear and terror at the mere thought of the possibility of itssudden and unexpected appearance. It may be readily surmised what*aserious condition such can be in a neurotic, or one whose nervous systemhas the slightest susceptibility to such psychic disturbances. There is the Keloid — Oh mann-Dumesnil. 429 further terror added of the possibility of new keloids forming and, in theirturn, adding to the agony of the condition already existing. False keloid is occasionally observed, but it is not to be confoundedwith the true variety, although it resembles it in no small degree. It isalways due to traumatism and greatly simulates scar tissue, It is rarely,if ever, as extensive as true keloid, and it is devoid of the subjective symp-toms noted in the latter. In addition to this, it will yield to radical treat-
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Fig. 2. False Keloid. ment, something: which the true torm has never been known to do. It isfor this reason that more than ordinary care should be taken to recognizesuch cases, on account of the important bearing this has in formulating aprognosis and in procuring successful treatment, where such is indicated.A good example of this peculiar form of pseudo-keloid is shown in Figure2. The patient, a young, white adult, suffered from tuberculous glands ofthe neck. He was advised to have them excised, which was accordingly 430 Original - Articles. done by a very competent surgeon. The incisions were quite slow to heal,but finally cicatrization occurred. It was, perhaps, but natural to expecta corded scar, which showed itself. In a comparatively short time, however,small prolongations from the scar made their appearance. This conditionis very well shown in the picture. Observing this peculiar condition, thepatient applied for relief, fearing that these prolongations would increase inboth s

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