Tri-State medical journal and practitioner . xtends, but deeply as , there are cases in which the entire destruction goes on with-out implicating any of the deeper structures, and these are numerous Lupus Vulgaris-Ohmann-Dumesnil. 17 enough. It must not be forgotten that the peculiar softish nodules havethe peculiar apple-jelly appearance which has been so often noted. Itcannot be predicated with certainty what the size of a nodule, either insuperficies or in height, will produce in the way of ulceration. It mattersbut little whether ulceration be superficial or deep so far as
Tri-State medical journal and practitioner . xtends, but deeply as , there are cases in which the entire destruction goes on with-out implicating any of the deeper structures, and these are numerous Lupus Vulgaris-Ohmann-Dumesnil. 17 enough. It must not be forgotten that the peculiar softish nodules havethe peculiar apple-jelly appearance which has been so often noted. Itcannot be predicated with certainty what the size of a nodule, either insuperficies or in height, will produce in the way of ulceration. It mattersbut little whether ulceration be superficial or deep so far as ultimatecicatrization is concerned. This follows spontaneously in both forms, thescars being generally thicker when following deep ulcerations. When thisscar tissue is still young it has been observed, in some instances, that aserious condition may supervene. A malignant process may be engraftedupon it and lead to serious consequences, producing rapid and extensive de-struction which, at times, is beyond all operative interference. This is. Fig. i. Lupus Vulgaris, Tubercular Form. another reason why the disease should not only be recognized early buttreated energetically and in as radical a manner as circumstances willpermit The localities most frequently attacked by this disease are the face andadjacent parts. It is more especially the cheeks which are the seat of lupus,and females are most often the victims of the disease. The process mostusually first attacks one cheek and may remain localized there. Mostoften it shows itself upon the other, and we have both implicated. Thenose is frequently subject to the trouble and when it is the ala is the por-tion which first suffers. It then spreads until it implicates the whole organ,and it is found attacking the lining mucous membrane also. The destruc-tion which ensues implicates the whole organ and destroys it an accompaniment of this it will be found that the Hp often participates 3 18 Original Articles. on the one
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