Dr. GRAHAM LITTLE showed (1) a case of _Tinea cruris_ in a private
patient, a Japanese gentleman, an exponent of the art of ju-jitsu. The
patient had noticed the eruption for about a month and a half, but could
not be certain that he had not the first trace of it before he left
Japan, six months ago. He was engaged in teaching the national form of
wrestling, and in his exercises had to strip almost entirely, so that he
might well have contracted the disease from a pupil. There were now
large patches of scaly dermatitis occupying the perineum and groins with
extensions on to the scrotum. On the left side of the cheek there was a
circinate patch the size of a florin, having a somewhat intricate
whorled pattern, suggesting tropical ringworm. On the outer side of the
ankle just below the external malleolus there was a small patch the size
of a sixpence, which was fading. No treatment had been applied to any of
the lesions. There was no history of infection among his pupils, with
the exception of one, a friend, who stated that he had some patches on
his skin which he noticed while on the voyage from Japan. The patch on
the groin was scraped, and in the scales thus obtained a very
large-spored mycelium with unusually long branches was demonstrated.
(2) A case of _Pityriasis rosea_ in a girl aged about 12 years, with
very characteristic pale pink patches, in size about one quarter by half
an inch, appearing first upon the upper part of the trunk above the
clavicles, and arranged in lines directed obliquely from the summit of
the shoulder to the clavicle. Upon the back in the intervertebral groove
there were numerous similar patches and also smaller papules, round and
faintly scaly. The eruption had made its appearance two days previously,
and it was not now present upon the limbs or lower upon the body than
the groin. It itched slightly. There was no similar eruption in any
member of the family. This was the second case the exhibitor had seen of
the disease this week, and it was probably true that the malady was an
exanthem occurring in epidemic form during certain periods of the year.
Dr. WILFRID WARDE agreed as to the epidemic character of the
disease, and he remarked upon the general good health of the
patients. He thought that the so-called “herald-patch” was
frequently missed, both by the patient and the physician.
Public-domain text, read in full here on John Shaqi.
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