A case of sarcomatous "inflammatory fungoid neoplasm" / by Louis A. Duhring.

  • Duhring, Louis A., 1845-1913.
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: A case of sarcomatous "inflammatory fungoid neoplasm" / by Louis A. Duhring. Source: Wellcome Collection.

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    not to the extent of the prominent tumors, such as those on the face. In addition to the lesions described, there exist numerous, variously sized, rounded or flat, raised patches of infiltra¬ tion, of a reddish-purple or brownish-red shade, scattered over the trunk, the most conspicious of which are seated on the chest. These are five in number, two occupying the region of the nipples, and the others the sternum. They are large and prominent, varying in size from a walnut to an egg, and have a firm, fleshy feel, and a distinctly fungoid appearance. Upon various regions of the trunk, small and large, ill-defined patches of an inflammatory papular erup¬ tion (resembling disseminate papular eczema) exist, the seat of violent itching. More or less of this eruption is found over the whole surface, and appears to be eczematous in character, although peculiar in type. The general color of the skin of the trunk is a dusky-red, mottled, and in places violaceous or even bluish (hemorrhagic) in tint. Upon the arms and forearms are likewise patches of tubercular infiltration, and also of the inflammatory papular manifestation, some of them being distinctly hemorrhagic. Upon the thighs and legs there are no large tumors or nodular formations, but here and there are patches of diffuse and papular infiltration, all of which are markedly hemor¬ rhagic, so much so as to give the picture of purpura. Upon the hard palate, involving the uvula, is an elongate, circum¬ scribed, raised, plate-like patch of infiltration, about half an inch in diameter. The voice is in consequence thick. The cutaneous lesions are all accompanied by intense itching, which is almost constant. The scratch-marks, evervwhere • %/ visible, attest this statement, and it is chiefly for this symptom that the man now seeks medical advice. The case represents the same disease that I brought before the American Dermatological Association four years ago, a full report of which easy, together with the remarks made by the writer, and by members of the Association, may be found in the Archives of Dermatology, January, 1879, and January, 1880, with the provisional title of “ inflammatory fungoid neoplasm.” The inflammatory nature of the pro¬ cess was more marked in the first case than in the present one, although some of the lesions cannot be interpreted otherwite than as highly inflammatory. We shall find, however, without doubt, in the fully developed tumors the