Case of dermatitis herpetiformis with peculiar gelatinous lesions / by Louis A. Duhring.

  • Duhring, Louis A., 1845-1913.
Date:
[1885]
Catalogue details

Licence: Public Domain Mark

Credit: Case of dermatitis herpetiformis with peculiar gelatinous lesions / by Louis A. Duhring. Source: Wellcome Collection.

    7/12 (page 7)
    yellowish pigmentation, the result of scratching. The patient remained well, except that he was still much annoyed with general itching for a week, when the present lesions, pustular in character, began to appear. They have been very gradually increasing in size, and multiplying from day to day, until the existing condition has been reached. The lesions are distinctly pustular, varying in size from a pin-head to a finger-nail. They are of p yellowish-white color; tensely distended in their early stage ; flat; surrounded with marked areolse ; and of irregular, more or less rounded or angular outline, and have a contracted or puckered appear¬ ance. The older ones are crusted with a yellowish, slightly greenish, flat, uneven, honeycomb crust. The recent small crusts, in many instances, show a decided umbilicated or cupped formation, reminding one of tinea favosa. The lesions are numerous, and exist upon the scalp, neck, shoulders, arms, forearms, sacral region, buttocks, thighs, popliteal spaces, legs, breast, and abdomen. The hands and feet and genitals are almost free. Viewing the eruption as a whole, the lesions may be said to be disseminated, though they are more abundant in some localities than others, and in some places—as on the buttocks—even incline to cluster. The clusters or groups are made up of two, three, or four lesions, of different sizes, situated closely together, in some instances so closely as to run together. Two decided clusters, of half-dozen lesions each, occupy either buttock, the lesions being small and large, inflammatory, more or less crusted,