On the nomenclature and classification of disease of the skin / by L. Duncan Bulkley.

  • Bulkley, Lucius Duncan, 1845-1928.
Date:
[1881]
Catalogue details

Licence: Public Domain Mark

Credit: On the nomenclature and classification of disease of the skin / by L. Duncan Bulkley. Source: Wellcome Collection.

    14/18 (page 14)
    group the diseases are classed according to predominant primary lesions, following the names of Willan. The only real innovation in the first group belonging to this class, is in placing syphilis here among other in¬ fectious or contagious diseases, rather than among those characterized by new formations, as has been previously the case in the classification of Hebra and others. Some time ago Mr. Jonathan Hutchinson wrote very ably and. forcibly in reference to the propriety of locating syphilis among the exanthemata, and study and observation have led me more and more to recognize the soundness of this suggestion. While the late forms of syphilis are undoubt¬ edly characterized by new deposits in the texture of the skin and other organs, the essential character of the dis¬ ease undoubtedly lies in its earlier period, when we have the general eruption, the more or less febrile disturbances, and the greater contagiousness of the disease. The late phenomena are indeed sequelae; as a disease it belongs more properly with small-pox, whose eruption it sometimes simulates quite closely. In the second group of this fourth class it will be seen that the diseases are arranged more or less together ac¬ cording to their gross lesional aspects ; this group being subdivided into nine others, following much the original classes of Willan. It will be noticed in the first special group that erythema simplex and multiforme, which in Hebra’s classification were separated, have been placed to¬ gether, with other more decidedly inflammatory affections. This, in a measure, simplifies the original classification of Hebra by doing away with the class of hyperaemise ; an¬ other class of Hebra’s, namely, anaemiae, is likewise omitted, as practically non-existing. A new term is found in the sixth sub-group, namely der¬ matitis medicamentosa, a term recently suggested by Duh- ring to indicate the eruptions produced on the skin by the internal administration of certain drugs. Another sub¬ group has also been added, namely, phlegmonous, to include furuncle and anthrax; and yet another one, namely, ulcera¬ tive, to embrace onychia and ulcers, which latter have been