. A practical treatise on diseases of the skin, for the use of students and practitioners. tology for October, 1879 (p. 39). (6) There is considerable hyperplasia of the elements, in consequenceof which the lesion spreads laterally, while its elevation from the sur-face is prevented by contact with apposed surfaces. Thus is formedthe broad, flat, moist papule known as the vegetating mucous patch/7condyloma, plaque muqueuse, etc. (Fig. 74). The lesions, whenunaltered and fully developed, are of a decidedly whitish color, fromthe puriform mucus which covers them and which, as with so manyof the
. A practical treatise on diseases of the skin, for the use of students and practitioners. tology for October, 1879 (p. 39). (6) There is considerable hyperplasia of the elements, in consequenceof which the lesion spreads laterally, while its elevation from the sur-face is prevented by contact with apposed surfaces. Thus is formedthe broad, flat, moist papule known as the vegetating mucous patch/7condyloma, plaque muqueuse, etc. (Fig. 74). The lesions, whenunaltered and fully developed, are of a decidedly whitish color, fromthe puriform mucus which covers them and which, as with so manyof the syphilodermata in moist situations, is liable to exhale an ex-tremely offensive odor. When the secretion is removed the lesion isseen to be pinkish, or light- or dark-red in color, and to be either firmor soft, scarcely raised, and indefinite in contour, or distinctly elevatedand very well defined. They are chiefly found in moist situations,where folds of the skin are apposed, as about the perineum, the groins,the axillae, the mammae, the nates, the anus, the genitals, and the Fig. Vegetating condylomata of the vulva (after Jullien). inner faces of the thighs. They may coalesce so as to form palm-sized patches, and frequently they are associated with hyperidrosis,seborrhea oleosa, and the dried products of secretion from the adjacentmucous outlets. (c) In consequence of changes in the superficial layers of the epider-mis the papules may become covered with scales, either at the base orthe apex, more commonly the latter, forming thus the papulo-squamoussyphiloderm. The scales are of a dirty-grayish hue, often desiccated,generally attached, rarely freely exfoliating. They are relatively few,occurring where the lesions are closely set together. The desquamationmay be the most suggestive feature of the patch. Beneath the scalesare seen distinctly elevated brownish-red papules or merely slightlyelevated, dull-red or purplish-red maculations. When the scales accum-ulate at the b
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Keywords: ., bookauthorhydejamesnevins184019, bookcentury1800, bookdecade1890
