23. =Skin.= Color (racial differences), brown, gray or black
pigmentations in Addison’s disease, pellagra, syphilis, vitiligo,
xanthoma, chloasma, pigmented nodes or nævi, argyria, arsenical
poisoning, pernicious anæmia, xeroderma pigmentosum, chronic
jaundice, vagabond’s skin, tan, following blisters, plasters,
cupping, use of croton oil, Roentgen irradiation, effects of violet
rays, melanotic tumors, pregnancy, etc.; bronzing in Addison’s
and chronic icterus; lemon yellow in chlorosis and pernicious
anæmia; yellow to dark green in icterus; grayish-brown in potassium
chlorate poisoning; bluish-red (cyanotic) in cardiac insufficiency;
yellowish-bluish-red (“Herz-farbe”) in cases of complete loss
of compensation; cherry-red or rose-red in carbon-monoxide or
hydrocyanic acid poisoning, rarely as the result of an erythema,
although this condition usually disappears after death; dirty sallow
to grayish or greenish in tumor cachexia and poisoning with H_{2}S;
white after severe hemorrhage, cachexia of chronic Bright’s disease,
leucoderma, vitiligo, albinism, leprosy, etc.; red, yellow, green
or brown in hemorrhages according to their age. Eruptions should
be classified and described as to location, abundance, stage, etc.
(macules, papules, wheals, desquamation, scales, blebs, bullæ,
pustule, tubercles, ulcers, abscess, phlegmon, herpes, crusting,
granuloma, etc.). With the exception of chicken-pox and small-pox
the eruptions of the acute exanthemata disappear after death, as do
all erythematous rashes except in rare instances. Emphysema of the
skin should be differentiated from œdema. The most common lesions
of the skin are acne, eczema and syphilis. Tuberculosis (lupus)
is not uncommon; anthrax, favus, rhinoscleroma, actinomycosis and
blastomycosis and Aleppo or Delhi boil are more rarely seen. Tinea
versicolor and tricophyton (barber’s itch and the various forms
of ringworm) are the most common parasitic affections. In the
Southern states ground-itch due to the hook-worm is the most common.
Leprosy should be considered in connection with individuals coming
from Norway, Sweden and Finland and other leper-foci. The most
common tumors of the skin are all the various forms of hæmangioma
and lymphangioma (freckles, moth patches, naevi, moles, warts,
birth-marks), fibroma, lipoma and squamous-celled carcinoma (horny
and basal-celled types). The latter is the most common form of
malignant tumor. Sarcoma of the skin is more rare; the melanotic
sarcoma, arising usually in a pigmented mole, is the most common
form. Next to this is the round-cell sarcoma or lymphosarcoma
(mycosis fungoides, leukaemic and aleukaemic lymphocytoma, etc.).
Spindle-cell sarcoma, angiosarcoma, endothelioma and other forms
are less common. Sebaceous cysts (wen, atheroma, steatoma) are
very common. Less frequent are molluscum contagiosum, xanthoma
(endothelioma lipomatodes), myoma, myxoma, chondroma and osteoma.
Adenoma sebaceum and sudoriparum are rare. Other conditions of the
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account