. Annual and analytical cyclopaedia of practical medicine . onsfrom a case of dermatitis herpetiformis(Duhring). Fig. 1 shows two vesicles (V^, Y^)which have been formed entirely be-neath the epidermis. Macroscopicallyboth vesicles were about the size of asmall pin-head. The entire upper halfof the corium is the seat of acute inflam-mation. S is a sweat-duct; B indicatessmall blood-vessels, and (r is a sebaceousgland. Fig. 2 shows the stage preceding theformation of the vesicles. Large num- 474 DERAIATITIS HERPETIFORMIS. PATHOLOGY. DIAGNOSIS. bers of eosinophiles (E) are to be seenscattered th
. Annual and analytical cyclopaedia of practical medicine . onsfrom a case of dermatitis herpetiformis(Duhring). Fig. 1 shows two vesicles (V^, Y^)which have been formed entirely be-neath the epidermis. Macroscopicallyboth vesicles were about the size of asmall pin-head. The entire upper halfof the corium is the seat of acute inflam-mation. S is a sweat-duct; B indicatessmall blood-vessels, and (r is a sebaceousgland. Fig. 2 shows the stage preceding theformation of the vesicles. Large num- 474 DERAIATITIS HERPETIFORMIS. PATHOLOGY. DIAGNOSIS. bers of eosinophiles (E) are to be seenscattered thronghont the papillae. Fig. 3 shows the first stage in theformation of the vesicles. Immensenumbers of polynnclear leucocytes aremassed in the papil]a\ having replacedthe normal tissue. arrangement, which Duhring regards ascharacteristic; the chronicity of the dis-ease, and its frequent recurrence; theburning and itching, and general ab-sence of marked constitutional disturb-ance will usually enable a diagnosis to bemade without difficulty. Among the dis-. M. - ¥1
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