Clinical and pathological papers .. . as have been present for the patient has been losing in weight. Physical examination: Patient is a small anemic man witha slight scoliosis, a marked dorsal kyphosis and a correspond-ing lumbar lordosis. The lymphatic glands are all palpable butnot greatly enlarged. No abnormalities in the eyes, ears, nose,throat, circulation, abdomen, extremities or reflexes. The skinis soft and loose, and nevi and dark pigmented areas are nu-merous. Thickly scattered over the entire body, but especiallyon the chest, back, neck and arms are numerous small su
Clinical and pathological papers .. . as have been present for the patient has been losing in weight. Physical examination: Patient is a small anemic man witha slight scoliosis, a marked dorsal kyphosis and a correspond-ing lumbar lordosis. The lymphatic glands are all palpable butnot greatly enlarged. No abnormalities in the eyes, ears, nose,throat, circulation, abdomen, extremities or reflexes. The skinis soft and loose, and nevi and dark pigmented areas are nu-merous. Thickly scattered over the entire body, but especiallyon the chest, back, neck and arms are numerous small subcu- Digitized by Microsoft® 6 The Cleveland Medical Journal taneous tumors ranging in size from .5 cm. to 4 cm. in smaller ones are red, firm, neither tender nor painful,and while attached to the skin and the subcutaneous .tissues theyare movable on the deeper structures. The smaller cutaneousones are bluish, opalescent, soft, not tender, not painful, not in-flamed, almost fluctuant and do not change color on ?Fig. 1. Patient No. 2. Large neurinoma of chest, dating from birth. One tumor on the back oyer the left scapula and severalon the neck are flattened, elongated, not tender, not painful,movable on the deeper tissues-, > with the skin movable over themand on palpation have a feeling similar to that of a varicocele. Over the lower sternum and chest anteriorly and apparentlyclosely attached to them, is a large, pedunculated, lobulated, Digitized by Microsoft® Cole and Shawax—Von Recklinghausens Disease - 7 rather firm tumor with areas of softening, having a base meas-uring cm. vertically and cm. transversely. The upperborder is in the fourth interspace in the right sternal line while
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectclinica, bookyear1901
