CASE 8.—Charles C——, aged 32 years, tailor, came to University College
Hospital on October 4th, 1904. He stated that the skin lesions had
commenced four years previously, appearing first on the thighs, then on
the legs, and a little later on the forearms. He did not remember when
the body was first affected. Fresh patches have appeared from time to
time, but none have gone away. The lesions consisted of irregular
patches from half to several inches in diameter symmetrically
distributed over the trunk and limbs. On the back, they were in
elongated or oval patches, symmetrically arranged in oblique lines
corresponding to the direction of the ribs. They are well defined from
the healthy skin, not raised above the normal skin, and the border was
not raised above the central portion either to sight or touch. In front,
there were large areas due to coalescence of several patches, but the
smaller patches were elongated and horizontally placed. On the thighs
near the groin the patches ran obliquely round the limb, but lower down
were vertical. The general colour was yellowish pink, but in some the
yellow, in others the pink predominated. When pinched up, many of the
patches were distinctly thickened, but in the more recent this could not
be felt, and some appeared as mere stains. The surface was smooth on the
trunk, but on the lower limbs there was some roughness of the surface,
more marked below the knee, but not actually scaly. The patches on the
trunk were larger than on the limbs, and healthy areas of skin were
sometimes completely enclosed by the diseased patches. The upper part of
the chest, neck, and face were free, except a small patch on the lower
lip. There were also large spaces of unaffected skin on the thighs, but
only small ones on the upper limbs. On the back of the hands near the
wrists, there were some small patches. The mucous membrane of the mouth
was normal. There was no itching nor other subjective sensation. There
was a history of phthisis in his mother and brother, but the patient was
well nourished and healthy, except that he was liable to bronchitis, and
had some enlarged post sterno-mastoid glands on the left side. He was
put upon salicin gr. xv _ter die_, and vasogen iodine rubbed on the
forearms, but so far no decisive result has been obtained. Mr. Pernet
has obtained a piece of skin from the right forearm, where the lesion
was apparently superficial. His report is appended.
* * * * *
CASE 9.—A gentleman, aged 29 years, in whom the disease has been present
for four and a half years, was seen with Mr. George Pernet, who showed
him at the Dermatological Society of London in November, 1904, and the
notes of his case were published in the December number of the _British
Journal of Dermatology_, vol. xvi, p. 457.
* * * * *
There remains only the case of the lady, which requires separate
consideration.
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