Journal of Cutaneous Diseases Including Syphilis Volume 9

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated.1891 Excerpt: ... Fio. 4.--Photo-micrograph Showing A Beginning Papule In Acne Varioliformis. JOURNAL OF CUTANEOUS AND GENITO-URINARY DISEASES. Vol. IX. APRIL, 1891. No. 4 (c)riniual (Communications. NOTES ON CERTAIN PUSTULAR DISEASES ATTENDED WITH ATROPHY. By EDWARD BENNET BRONSON, M.D., Professor of Dermatology in the New York Polyclinic. Acne Varioliformis Of The Extremities. ON the 26th of October last, the following note was made concerning a patient (see Plate, Fig. 1) who came to the Out-Door Department of the Polyclinic. At the first examination, on account of the location and the unusual aspect of the disease generally, a positive diagnosis was not made. The affection which at first it seemed most to resemble was acne cachecticorum, but the case lacked all other symptoms of cachexia, and, moreover, the eruption seemed too circumscribed for that disease. The diagnosis acne varioliformis was finally arrived at as much by exclusion as by strictly affirmative features. G. K., aged 20, native of Germany; piano-finisher by trade. Both family and personal history, so far as could be ascertained, good. The present disease began two or three months ago, first on the backs of the hands, thence extending up the arms, and afterward appearing on the feet and legs. The general features of the eruption have been from the first the same as at present. The disease began without constitutional disturbance of any sort so far as the patient is aware, and during the entire period his general health has been good. Status prcesens.--The patient, though not robust, does not appear especially delicate; is well developed and seems well nourished. The cutaneous affection is his only complaint, and from this he suffers no annoyance except from its appearance. It occupies both the upper Vol..