When seen by me on February 4th, 1904, there was a large irregular
lesion occupying nearly the whole of the interscapular region and
numerous others on the back, abdomen, and thighs. They were of a dull
pale lemon colour; some were distinctly thickened when the skin was
pinched up; in others this was not recognisable. On the thighs, they
were pinkish and slightly roughened. On the body they were smooth,
elongated, oblong, oval, and well defined, symmetrically placed, and on
the back in oblique lines sloping down and out from the spine in the
lines of cleavage, _i.e._ corresponding to the rib slope. They seldom
itched or gave any trouble.
* * * * *
CASE 6.—Mr. H——, aged 37 years, a draper. The disease had been present
two years. When seen on April 26th, 1904, he had numerous patches on the
calves and front of the legs, some three or four inches across, with
distinct thickening. They were round, well-defined, and when pinched up
were hard as compared with the adjoining healthy skin. Besides these
there were more recent superficial irregular patches symmetrically
arranged on both thighs. In the interscapular region and in front under
the breasts were slightly yellowish stains, but no other alteration of
the skin could be seen or felt, the surface being quite smooth. There
was occasionally some itching, but never severe. There was constipation
present, but no other symptom of ill health.
He was ordered fifteen grains of salicin three times a day, and to rub
in ten per cent. vasogen iodine. He was seen again on June 1st, when
there was less thickening in some of the patches, but no other change.
* * * * *
CASE 7.—Mr. D——, aged 34 years, was seen first on November 3rd, 1904, in
consultation with Dr. Payne. He had had a chancre in 1896. He had a
severe sore throat and a rash, which only lasted a short time. He was
treated with mercury for eighteen months.
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