The Journal of Cutaneous Diseases Including Syphilis, 1912, Vol. 30

Download or read book The Journal of Cutaneous Diseases Including Syphilis, 1912, Vol. 30 written by George M. Mackee and published by Forgotten Books. This book was released on 2017-10-31 with total page 846 pages. Available in PDF, EPUB and Kindle. Book excerpt: Excerpt from The Journal of Cutaneous Diseases Including Syphilis, 1912, Vol. 30: Official Organ of the American Dermatological Association Fig. 1. A married woman, twenty-eight years of age, who has always enjoyed good general health, but for three years has been affected with lupus erythema tosus discoideus. It is in the form of red patches, covered with grayish, ad herent scales. The disease first affected the middle of the nose, but slowly, by peripheral extension, covered the whole organ. Not long afterward another patch developed on the left cheek. This lesion finally joined the patch on the nose. It covered the whole cheek and had invaded the vicinity Of the inferior eyelid. The patch on the nose spread to the left cheek, so that there was one large lesion covering most of the face. On the concha of the right ear there was a round, red patch covered with thin scales and crusts, the latter being due to haemorrhage caused by any slight irritation. Another reddish-brown patch was in the post-auricular region of the left side. In the middle, dark red points could be seen, which were the excretory ducts of the sebaceous glands. The edges were red' and somewhat elevated. The only subjective symptom was pruritus, which caused considerable scratching and for this reason bleeding would occasionally result. A glance at the lesions in the last patient will show that the affection is superficial, destructive in character which, although not bringing about an ulceration, is, nevertheless, the cause of necrosis of the epidermis. The necrotic condition of the epidermis leads to the formation of scales. The congestion of the blood vessels causes the peculiar erythema, and is the cause, also, of the increased secre tion of the sebaceous glands. The effusion of infiltrating cells in the connective tissue of the papillary layer causes sclerosis and a superficial scar. These peculiarities are constantly found in lupus erythematosus discoideus, and are considered to be the most important symptoms of the disease. When any one of these fea tures is more prominent than another it produces one of the different varieties of the disease, such as lupus erythematosus marginatus, nodularis, etc. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.