Psoriasis--verruca--epithelioma : a sequence / by James C. White.

  • James Clarke White
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: Psoriasis--verruca--epithelioma : a sequence / by James C. White. Source: Wellcome Collection.

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    1885.] of such a direct change. The lesson to be drawn from their study is, that the tiansfoimation of patches of psoriasis into verrucous hypertrophy must be regarded as an ominous occurrence, and that the softening or othei change of such horny growths demand thorough excision without delay. Article XY. A Case of Unilateral Spasm of the Tongue. By Edmund C. Wendt, M.D., of New York. Spasm of the tongue, occurring as an independent affection, is generally recognized to be quite rare. A case of this kind having recently fallen under my notice, I thought it deserved to be placed on record. Mr. U., aged 36, single, a native of the United States, first consulted me for his present trouble in December, 1883. He was a medium-sized, powerfully built man, of excellent physique, and fair mental capacity. His occupation of builder or contractor gave him ample but not excessive out-door exercise. He was entirely free from any hereditary or acquired taint. His past life had been one of moderation in all respects. He was neither a drinker nor a smoker in the usual sense, although he was not a total abstainer. As regards sexual intercourse, while not claiming to be absolutely continent, he had never felt much desire for indulgence of that kind. He remembered no serious illness at any period of his life, and save for the trouble with his tongue and throat, considered himself, even now, in perfect health. Regarding the ailment for which he sought advice, he stated that, for some weeks past, the right side of his tongue would now and then sud¬ denly get hard and be thrown into contractions. Such attacks would last for from one-half to several minutes. The intervals were quite free from morbid manifestations of any kind, except a feeling of rawness or soreness at and about the right tonsil. He further said that the lingual spasm would sometimes completely disappear for one or two days, and at other times recur every few hours. He paid little attention to it at first, but latterly it seemed to be gaining in intensity to such an extent that it interfered somewhat with distinct articulation. An examination of his throat and tongue revealed nothing abnormal, nor did the rest of his body show any noteworthy departure from health. It should here be stated, however, that at a subsequent examination by a specialist, there was found “ deviation of cartilaginous nasal septum to the right, hypertrophy of both inferior turbinated tissues anteriorly,” and some “ chronic irrita¬ tive hyperiemia of the larynx.” I use the exact words of the written