Papers on dermatology and allied subjects / by E.D. Mapother.

  • Edward Mapother
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Papers on dermatology and allied subjects / by E.D. Mapother. Source: Wellcome Collection.

    36/144 page 28
    AN ANOMALOUS FORM OF ECZEMA.* Last January I was consulted about a raw surface involv- ing the right tragus, and the hairless skin in front of it, and at once its likeness to Paget's disease of the mammary areola struck me. It was oval, about I y2 inch vertically and an inch transversely, florid and moist as is the glans penis during balanitis. The patient was a married woman of forty, who had been long troubled with uterine maladies. Referring to my notes, I found records of two very similar cases, unilateral and in females, but of diverse ages—forty- five and twelve. In the latter there was also a small patch a little above the eyebrow of the same side. They had not the symmetry, chronicity, dryness, and other features or erythematous lupus. The uniform, florid, oozing surface without granulations, hard and slightly raised, but without the rolled over edge of Jacobs, or the rodent ulcer, the absence of pain or much itching and stubbornness to treat- ment, without occasional disappearance, characterised all the cases. Dr. Crocker has observed a like condition on the scrotum. Some physiological analogies group these regions : in all the sebaceous glands (or as Unna regards them, coil glands) are very large; those round the nipple were, by Bidloo in 1685, described as supplementary mammary glands. The soakage of the skin by the overflow of milk or by the saliva of the infant is prevented by their oily secretion, and in the scrotum and parotid region a similar waterproofing protec- * Read in the Section of Pathology at the Annual Meeting of the Jiritish Medical Association held at Glasgow, August, 1888.
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