(2) A case of _atrophy of the nails following measles_ in a girl aged 18
years. Three months after the exanthem all the nails were shed, and
subsequently regenerated, except in the case of the thumbs, both index
and middle fingers and the big toes, where they were either very thin,
striated, and longitudinally fissured, or apparently absent, the
posterior nail-fold having grown forward and become adherent to the
nail-bed, through which more or less of the root of the nail could still
be felt. No member of her family had any affection of the nails. There
was no evidence of syphilis, and she had never had any other illness.
The condition had persisted for thirteen years.
Dr. R. L. BOWLES remarked that anything which lowered the vitality
of the system might produce various abnormalities of the nails, and
he quoted the observations of Sir Samuel Wilks who had seen atrophy
of the nails after scarlet fever.
(3) A case of _ulcer of the cheek_ in a man, aged 52 years, of four
months’ duration. It was roughly circular in shape, at least 1 cm. in
diameter, and scabbed over. The glands were not enlarged, and there was
no evidence of syphilis. If it should turn out to be a rodent ulcer, he
thought it was unusually rapid in its growth. He proposed removing it
entirely, and he would report on it histologically at a subsequent
meeting.
(4) A case of _acute Lupus erythematosus_ in a married woman, with a
history of five months’ duration. It began as two small patches on the
cheek in front of the right ear and extended to the face, the pinna and
concha of the ear, and the neck. Soon after, the fore-arms and and backs
of the hands and fingers became affected. The scalp was very scurfy, and
at one time she was much exposed to the sun. There was scaling, but no
vesication or evidence of atrophy. There was a good deal of pain and
tenderness, and she was quite unfitted for work.
(5) A case of _congenital pigmented nævus_ in a girl aged eleven years.
There were numerous small, dusky, pigmented patches and spots scattered
upon the left side of the neck, shoulder, and breast. There were also a
few spots on the lobule of the corresponding ear. They were said to be
getting darker, and some were becoming papillomatous. They were thickly
grouped around the nipple, the areola of which was deeply pigmented.
There was also a patch of dark hair behind the ear on the same side.
(6) A case of _acquired pigmented nævus_ in a boy aged 11 years. Two
years ago he noticed a freckle beneath the left eye which gradually
became darker, and it was now black. Four more soon followed immediately
below the first, and then another appeared on the lower lip on the right
side. Other spots were to be found on the trunk and neck.
Among the suggestions for treatment put forward by the members of
the Society excision of each nævoid spot was mentioned as being the
most efficient method of radical cure.
Public-domain text, read in full here on John Shaqi.
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