Psorospermosis follicularis cutis : a clinical lecture, delivered at the New York Post-Graduate Medical School and Hospital, October 8, 1890 / by L. Duncan Bulkley.

  • Bulkley, Lucius Duncan, 1845-1928.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Psorospermosis follicularis cutis : a clinical lecture, delivered at the New York Post-Graduate Medical School and Hospital, October 8, 1890 / by L. Duncan Bulkley. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    and gave a rough feeling on passing the finger over them; where they were most numerous they coalesced to a greater or less extent, forming patches of a dirty yellowish-brown color. The increase of the eruption has been gradual, but at times more rapid, especially in the spring and fall, when he has fever, with pains in the bones (which may be malarial) confining him to bed; at these times the affected portions become swollen and red, and, he states, have been mistaken for erysipelas. This latter state- ment is, of course, of no importance, for we all know how commonly unusual eruptions of a congestive character are called erysipelas” by those unacquainted with skin diseases. He cannot tell the date at which the various portions of the body became affected, but remembers that the forearms and backs of the hands were attacked about fourteen years ago. He has two daughters, aged respectively fourteen and seventeen years, also a son twenty-four years of age, all of whom are healthy and free from any eruption. He has lost one child aged six weeks. His father and mother never had any eruption, and he has a brother aged fifty-four years, and a sister aged fifty-seven years, living and healthy. Another brother died at the age of forty-three years of paralysis. His present condition, as you see, is not very good. He has an anxious, careworn expression, and says that he is so nervous and weak that he cannot attend to any business. The skin lesions extend from the top of the head to the groins and upper thighs. The top of the head, which is bald, you will notice is almost covered with small, brown specks, filling the sebaceous orifices and giving a nutmeg-grater” sensation on passing the finger over them. On the forehead the lesions are larger, varying from the size of the head of a small pin to that of a medium-sized flat bead ; all are slightly raised above the surface, are either flat or rounded, and dis-