Essentials of Diseases of the Skin: Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of MedicineStelwagon, Henry Weightman
Science
Essentials of Diseases of the Skin: Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of Medicine
Stelwagon, Henry Weightman
Skin -- Diseases
The disease is rare, and consists usually of one or several
(exceptionally numerous), variously-sized tumors of the skin, made up of
smooth muscular fibres. They are flat, rounded, oval or pedunculated,
and have a smooth surface and a pale-red color; as a rule, they are
painless.
The growth is benign, and consists essentially of a new formation of
unstriped muscular fibres; but it may also be composed largely of
connective tissue (_fibromyoma_); or it may contain an abundance of
bloodvessels (_myoma telangiectodes_, _angiomyoma_); or there may be
lymphatic involvement (_lymphangiomyoma_).
#Angioma.#
(_Synonyms:_ Naevus Vasculosus; Naevus Sanguineus.)
#Give a definition of angioma.#
Angioma is a congenital hypertrophy of the vascular tissues of the
corium and subcutaneous tissue. Exceptionally it makes its appearance a
few weeks or a month after birth.
#Into what two classes may angiomata be roughly grouped?#
The flat (or non-elevated) and the prominent (or elevated).
#Describe the flat, or non-elevated, variety of angioma.#
The flat, or non-elevated, angioma (_naevus flammeus_, _naevus simplex_,
_angioma simplex_, _capillary naevus_) may be pin-head- to bean-sized; or
it may involve an area of several inches in diameter, and, exceptionally,
a whole region. It is of a bright- or dark-red color, and is met with
most frequently about the face. In some instances it extends after birth,
reaches a certain size and then remains stationary; occasionally, when
involving a small area, it undergoes involution and disappears.
The so-called _port-wine mark_ is included in this group.
#Describe the prominent, or elevated, variety of angioma.#
The prominent variety (_venous n[oe]vus_, _angioma cavernosum_, _n[oe]vus
tuberosus_) is variously-sized, often considerably elevated,
clearly-defined, compressible, smooth or lobulated, and of a dark,
purple color; it may, also, be erectile and pulsating. The growth is
usually a single formation, and is met with upon all parts of the body.
#What is the pathology of angioma?#
It is a new growth, consisting of a variable hypertrophy of the
cutaneous and subcutaneous arterial and venous bloodvessels, with or
without an increase of the connective tissue.
#Give the treatment of angioma.#
In some instances, especially in infants, painting the parts repeatedly
with collodion or liquor plumbi subacetatis will act favorably. For
well-established, small, capillary naevi electrolysis or puncturing with
a red-hot needle or with a needle charged with nitric acid may be
employed; for "port-wine mark" frequent and closely contiguous
electrolytic punctures are occasionally followed by a slight diminution
in color. For the _prominent growths_, vaccination, the ligature,
puncturing with the galvano-cautery, and excision are variously resorted
to.
In recent years applications of liquid air and carbon dioxide have proved
of service in some cases.
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