Psoriasis in child under four years of age / by H.W. Stelwagon.

  • Henry Weightman Stelwagon
Date:
[1881]
Catalogue details

Licence: Public Domain Mark

Credit: Psoriasis in child under four years of age / by H.W. Stelwagon. Source: Wellcome Collection.

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    robust, and of healthy parentage. So far as could be ascertained, there existed no hereditary tendency to psoriasis, although one of the parents had been the subject of an occasional attack of eczema during early life. On the trunk, arms, and legs were numerous scaly papules about the size of a split pea. On the back were several patches of the diameter of a ten-cent piece. On the extensor surfaces of the elbows and knees the patches were confluent and the disease well marked. The eruption was but slightly inflammatory. The scales were abundant, and of the peculiar pearly color so characteristic of psoriasis. The eruption had first appeared on the extensor surface of the elbows about nine months prior to my seeing the case, the child being then just three years old. Subse¬ quently the knees were likewise attacked, where, as on the elbows, the patches at a later stage became more or less confluent. Afterwards other regions of the body were affected. The larger patches seemed more inflammatory. With the exception of the patches on the elbows and knees and the few on the back, the eruption was typical of the variety known as psoriasis guttata. Mere removal of the scales from some of the larger patches would cause slight bleeding at points ; on others, however, this was not so easily produced. Itohing had been troublesome at first, but had apparently ceased to be of much annoyance. The case had already been once under treatment at one of