. The Medical and surgical reporter . lfinclosed in a translucent fibrous mass. Itis well known that the most trivial daraageto the skin may be followed by the appear-ance of cheloid. It has succeeded the appli-cation of a blister, leeches and sutures ; ithas been developed by bleeding, by a scratchor puncture ; in the cicatrices of small-pox,acne indurata, syphilis, burns and the vac-cine scar. If such slight causes are suffi-cient to produce the disease, I believe it im-possible to say whether it be idiopathic orotherwise. As the true and false forms ofcheloid are identical in microscopical
. The Medical and surgical reporter . lfinclosed in a translucent fibrous mass. Itis well known that the most trivial daraageto the skin may be followed by the appear-ance of cheloid. It has succeeded the appli-cation of a blister, leeches and sutures ; ithas been developed by bleeding, by a scratchor puncture ; in the cicatrices of small-pox,acne indurata, syphilis, burns and the vac-cine scar. If such slight causes are suffi-cient to produce the disease, I believe it im-possible to say whether it be idiopathic orotherwise. As the true and false forms ofcheloid are identical in microscopical struc-ture, as well as in all other particulars, whyis it necessary to adhere to the divisions intotrue and false cheloid arbitrarily created byAlibert. It is very probable that the peculiar affecting the breast of James Bell,which has been eight years in growing,came on as he states, from friction. Thesternum and a portion of the left parts ofthe chest are covered by a large irregularshield, studded by innumerable lobulated. eminences. Some parts of the diseased sur-face are depressed, and the skin has a grey-ish shriveled appearance, while other por-tions are elevated into cord-like prolonga-tions, that are dense and resisting to thetouch, and extend beneath the surroundinghealthy skin. The abnormal structure com-mences an inch below the upper edge of thesternum, and passes downwards to a littlebelow theensiform cartilage, having a widthacross the chest of eleven and seven-eighthsinches. On its right side are eminences re-sembling the paws of a panther, while overthe cardiac region is a tumor that may be 428 Medical Societies, Vol. xxix. likened to the left ventricle of the heart,surmounted by a cluster of smaller growthsThe disease when present upon the chestalways inclines to the left side. The true cheloid nature of the malady,however, is better seen upon the buttocks,where its presence is of more recent date.
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