. Journal - American Medical Association. lig. 8.—Shuwiug two vessels with extensive subeudothelial pro-liferation; red cells seen In one lumen; smooth muscle cells. shows brownish, mottled pigmentation. Having the same dis-tribution as the pigmentation are peanut to hazelnut-sizedareas of epidermal thickening, resembling sebaceous warts. The skin of the face hangs in great lobulated folds over thelower jaw and from the orbits on either ^ide (dermatolysis).The lips are onovninusly thirkoiied. The lower eyelids are vblcb is an puwer siiuwing ti-ausverse sfcliunof smooth muscle libers. tortuous
. Journal - American Medical Association. lig. 8.—Shuwiug two vessels with extensive subeudothelial pro-liferation; red cells seen In one lumen; smooth muscle cells. shows brownish, mottled pigmentation. Having the same dis-tribution as the pigmentation are peanut to hazelnut-sizedareas of epidermal thickening, resembling sebaceous warts. The skin of the face hangs in great lobulated folds over thelower jaw and from the orbits on either ^ide (dermatolysis).The lips are onovninusly thirkoiied. The lower eyelids are vblcb is an puwer siiuwing ti-ausverse sfcliunof smooth muscle libers. tortuous white cords from two to six millimeters in diameterwere plainly visible. The resemblance to sclerotic vessels wasvery striking. The strands were of uniform thickness (notbeaded) and loosely imbedded in the subcutaneous areolartissue. An interesting fact is their arrangement in groups offrom two to five strands, parallel and surrounding a large ar-. iig. !).—High power everted and coarsely granular. No ocular structure is visibleon the right, but on the left at the inner canthus the remnantiif an eyeball is seen, which shows a densely sclerotic corneaiind is capable of slight movement. Both eyeballs may be pal-pated as very hard and reduced in size. Firm (ibrous adhesionsliind the palpebral conjunction to underlying structures, except:it thi border of the lids. Irregular, hard, wormlike masses. ceils. lery. (Fig. 2.) On cross section these cords presented a light,translucent, almost transparent appearance. Microscopic study reveals several features of interest. 1. Tlie predominant histologic structure of these cords (Figs.!t and 10) is a dense fibrous periphery with a central meshworkI if fine fibrilla, in which there is a sparse distribution of Fed. 17, 190G. SCARLATINAL NEPHRITIS—LOWENBURG. 603 nuclei, round and spindle-shaped. The arrangement suggests aresemblance to perineural connective tissue surrounding a nervebundle i
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
