The ready reference handbook of diseases of the skin / By George Thomas Jackson, ... With 99 illustrations and 4 plates.
- Date:
- 1906
Licence: In copyright
Credit: The ready reference handbook of diseases of the skin / By George Thomas Jackson, ... With 99 illustrations and 4 plates. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
83/678 page 89
No text description is available for this image
No text description is available for this image
No text description is available for this image![cal in distribution it may be unilateral. The lesions are rounded })apules varying from a pin’s j)oint to a split pea in size, ’riie C(.)lor of these adenomata varies from ])ale yellow to red, when they will have tine telangiectases over them. They occur most often in women, and in early life, are generally multiple, often with an uneven surface, and seated deej) in the skin. Once having a])peared they do not tend to change, though a few may undergo involution and leave atroj)hic scars. The patients have coarse skins usually, and also frequently present mevi and other defects. Pollitzer has cured one case of the sebaceous variety by means of multiple scarifications. Crocker advises elec- trolysis. The sudoriferous variety occurs upon the head, neck, and extremities as dirty grayish-white tumors, sometimes in groups, wdth uneven, often knobby surface. When they <levelop from the coil they are called adenoma sudoriparum or spiradenoma; when from the duct, syringadcnoma. They are rare lesions of the skin, difficult of diagnosis, and require extir])ation or total destruction for their cure. ]\Iost cases formerly described under this heading are now- regarded as cases of multiple benign cystic epithelioma, -which see. Ainhum is a disease most frequently seen in the negro race, though a number of cases have been reported from India. It is seen in men more often than women, and several members of the same family have been known to be affected by it. The little toe of one or both feet is the one usually diseased, though the other toes do not always escape. It begins as a furrow on the inner and lower side of the proximal end of the toe, which gradually extends outward and upward so as to encircle fhe whole toe at its juncture with the foot. In the meantime the toe becomes enlarged, separates from its next neighbor, and rotates outward. When fully developed the toe wobbles about so that it interferes with walking. The whole process is unattended with ulceration, except accidentally caused and after the disease has lasted a longtime. When it occurs the toe falls off. There is little pain experienced till near the end of the disease. It takes from one to](https://iiif.wellcomecollection.org/image/b21967581_0085.jp2/full/800%2C/0/default.jpg)