. A practical treatise on diseases of the skin, for the use of students and practitioners . ral pounds weight, and though in casesthey degenerate by ulceration, they never have the curdy con-tents of molluscum sebaceum. Papillary warts are to be distinguished from mollusca, thoughwithout question lesions are to be occasionally seen of a typeintermediate between the two forms. Warts are to be recog-nized by their general papilliform character, and their evidentrelation to the papillary layer of the corium overlaid by a thick-ened stratum corneum. I have, on several occasions, been consulted by
. A practical treatise on diseases of the skin, for the use of students and practitioners . ral pounds weight, and though in casesthey degenerate by ulceration, they never have the curdy con-tents of molluscum sebaceum. Papillary warts are to be distinguished from mollusca, thoughwithout question lesions are to be occasionally seen of a typeintermediate between the two forms. Warts are to be recog-nized by their general papilliform character, and their evidentrelation to the papillary layer of the corium overlaid by a thick-ened stratum corneum. I have, on several occasions, been consulted by patients whohave discovered mollusca upon the genitals, and who supposedthese lesions to be of venereal origin. An error in this respectcan scarcely be committed by the physician. Neither the solidpapule of the initial lesion of syphilis when observed on the 1 Loc cit. 234 DISEASES OF THE SKIX. skin of the penis, nor the pustule and resulting ulcer of thechancroid, arc ever characterized l>y the particularly waxy-lookof genital mollusca with their depressed puncta. In such c Fig. The authors case of epitbellale. (From a painting in oil.) the inguinal glands should always be carefully examined, remem-bering, however, that a forcibly squeezed and cauterized mol lus-t-urn may be accompanied by a sympathetic adenopathy. KERATOSES. 235 Treatment—Molluscous tumors may be removed by ligature,scissors, knife, or curette, their contents having been previouslyexpressed. When desired, the surface may be first chilled orfrozen with the ether spray, to diminish the pain of the triflingoperation. Bleeding is easily arrested by a pledget of the point of a crayon of nitrate of silver m&y beintroduced after their removal, either to check hemorrhage orto insure destruction of the cyst. According to Hebra, thereturn or the complaint, when it occurs at all, may be expectedin points where no tumors have been removed. When the lesions are small and numerous,
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