Identifier: britishjournalof26brit (find matches)
Title: The British journal of dermatology
Year: 1888 (1880s)
Authors: British Association of Dermatology
Subjects: Dermatology Syphilis
Publisher: London H.K. Lewis (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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is a black-haired Jewish girl, aged 13 year.s, who, when aged aboutfour, had a lesion of the nose, presumably Lupus vulgaris, but thediagnosis was never very definite. In 1904 she is stated to havereceived about twelve Finsen and X-ray treatments at about oneweek intervals. After this the whole face became acutely inflamedand ulcerated, and remained so for many months. In August, 1905,the following note was made of her condition: Each cheek is anidcerated surface covered with pustules and scabs. The edge seems 56 EOYAL SOCIETY OF MEDICINE. active and spreading quickly. No definite lupus nodules to be seen.In March, 1906, it was noted that the child has not been broughtup since August, 1905; case completeh neglected and very muchworse; whole face involved. Some months afterwards the condi-tion she now presents spread down from the face round the neck onto the shoulders, and in front over the upper part of the manubriumsterni and inner third of the clavicular resfions. The condition has
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remained more or less st;itionary for the last twelve months. Prac-tically the skin over the whole of the face and ears is destroyed, andreplaced by thin scar-tissue. The tip of the nose has ulcerated away.The upper lip has also been destroyed, and the gums and teeth areexposed. Both the upper and loAver eyelids have also been destroyed,and theie is ectropion and epiphora. The scarring over the face hasa deeply pigmented and reticulated appearance, and some scattered,pigmented, slightly raised granulomatous papules are present inplaces. The skin of the neck, both anteriorly and posteriorly, isdeeply infiltrated with pigmented granulomatous papules arrangedmore or less in irregular, wavy, crescentic lines with a very irregular UOYAf; SOOIEJY OK MEDICINl:. 57 but definite marg-in, extending all round the neck; in front downover the middle of the manubrium sterni, over the inner thirds of theclavicular regions, and posteriorly, on the left side over the supra-scapular legion, not quite s

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