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
In appearance cutaneous horns resemble those seen in the lower animals,
differing, if at all, but slightly. They are hard, solid, dry and
somewhat brittle; usually tapering, and may be either straight, curved
or crooked. Their surface is rough, irregular, laminated or fissured,
the ends pointed, blunt or clubbed. The color varies; it is usually
grayish-yellow, but may be even blackish. As commonly seen they are
small in size, a fraction of an inch or an inch or thereabouts in
length, but exceptionally attain considerable proportions. The base,
which rests directly upon the skin, may be broad, flattened, or concave,
with the underlying and adjacent tissues normal or the papillae
hypertrophied; and in some cases there is more or less inflammation,
which may be followed by suppuration. They are usually solitary
formations. They are not, as a rule, painful, unless knocked or
irritated.
#What course do cutaneous horns pursue?#
Their growth is usually slow, and, after having attained a certain size,
they not infrequently become loose and fall off; they are almost always
reproduced.
#What is the cause of these horny growths?#
The cause is not known; appearing about the genitalia, they usually
develop from acuminated warts. They are rare formations.
#State the pathology of cornu cutaneum.#
Horns consist of closely agglutinated epidermic cells, forming small
columns or rods; in the columns themselves the cells are arranged
concentrically. In the base are found hypertrophic papillae and some
bloodvessels. They have their starting-point in the rete mucosum, either
from that lying above the papillae or that lining the follicles and
glands.
#Does epitheliomatous degeneration of the base ever occur?#
Yes.
#State the prognosis.#
Cutaneous horns may be readily and permanently removed.
#What is the treatment?#
Treatment consists in detachment, and subsequent destruction of the
base; the former is accomplished by dissecting the horn away from the
base or forcibly breaking it off, the latter by means of any of the
well-known caustics, such as caustic potash, chloride of zinc and the
galvano-cautery.
Another method is to excise the base, the horn coming away with it; this
necessitates, however, considerable loss of tissue.
#Verruca.#
(_Synonym:_ Wart.)
#What is verruca?#
Verruca, or wart, is a hard or soft, rounded, flat, acuminated or
filiform, circumscribed epidermal and papillary growth.
#Name the several varieties of warts met with.#
Verruca vulgaris, verruca plana, verruca plana juvenilis, verruca
digitata, verruca filifortnis and verruca acuminata.
#Describe verruca vulgaris.#
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