. A practical treatise on diseases of the skin, for the use of students and practitioners. with other syphilodermata upon the surface, such as mucouspatches, palmar lesions, or papules of the face. Fibroma, or molluscumfibrosum, generally occurs in tumors of greater number, firmer con-sistence, and larger size. The tumor of molluscum epitheliale greatlyresembles a wart, but the waxy-whitish appearance of the lesion andits dark punctum at one point or another sufficiently distinguish exceptional cases verruca plana may in shape and grouping closelysimulate lichen planus, but the location
. A practical treatise on diseases of the skin, for the use of students and practitioners. with other syphilodermata upon the surface, such as mucouspatches, palmar lesions, or papules of the face. Fibroma, or molluscumfibrosum, generally occurs in tumors of greater number, firmer con-sistence, and larger size. The tumor of molluscum epitheliale greatlyresembles a wart, but the waxy-whitish appearance of the lesion andits dark punctum at one point or another sufficiently distinguish exceptional cases verruca plana may in shape and grouping closelysimulate lichen planus, but the location and history, together withthe absence of the typical color, the varnished appearance of the sur-face, and the itching, characteristic of lichen planus, will make thediagnosis clear. 442 DISEASES OF THE SKIN. Treatment. Warts may be removed by excision, erasion, or caustics(nitrate of silver, alkalies, acids, perchloride of iron, corrosive subli-mate, etc.). The larger growths upon the genitalia, that are oftenhighly vascular, may demand the prior application of a ligature when Fig. Vertical section of the summit of a pointed wart: a, papilla containing vascular loop ;c, stratum corneum; d, hypertrophied rete. (After Kaposi.) they are pedunculated. Even the slender filiform warts will be foundto contain a small vessel in each pedicle that requires cauterization afterexcision. When the warts cannot more readily be removed by theknife or by curved scissors the Paquelin cautery may be used. Theblackened eschar which is left prevents hemorrhage, serves as the best HYPERTROPHIES. 443 subsequent dressing, and is less apt to be followed by a return of thegrowth. In some cases it is a useful expedient to transfix the lesionin several directions with the long needles used in gynecological prac-tice, previously dipped in a 50 per cent, solution of chromic acid. One may also transfix the base of the wart a sufficient number oftimes with a needle connected with the negative pole of a g
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Keywords: ., bookauthorhydejamesnevins184019, bookcentury1800, bookdecade1890
