Erythema elevatum diutinum / by H. Radcliffe Crocker and Campbell Williams.

  • Crocker, H. Radcliffe (Henry Radcliffe), 1845-1909.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Erythema elevatum diutinum / by H. Radcliffe Crocker and Campbell Williams. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    knuckle, and on the first terminal phalanx at the border of the nail of the thumb, first and second fingers, on the palmar surface of the same fingers, over the whole of the second finger, and over all but the proximal phalanx of the index finger ; on the thumb, it affects only the bend and the proximal phalanx. On the right hand :—the same fingers but not the thumb are affected, all up the palmar surface of the index finger, and the distal end of the second finger; the back is only slightly affected on the terminal phalanx of the index finger and the joint between the proximal and second phalanx of the first and second fingers. The most highly developed lesions are over the first knuckle of the left hand and the inter-phalangeal joints of the right hand. The one on the right index finger may be taken as a type ; here the lesion was raised one-eighth of an inch, convex, sharply defined, pale purplish-red in colour, with a few dilated vessels over it, some- what whiter on pressure, but diminishing very little in size ; firm to the touch, very tender ; but not painful except when pressed upon. It did not itch or burn. Over the elbow-joints there were lesions evidently of a similar character, but retroceding. At the border the skin was wrinkled, and there was a brownish discoloration. On the knees involution was still more complete ; the left was almost well, except some slight discolorations and thickening in one part. On the right there were still three prominent lesions; the rest had involuted, leaving a dull, slightly reddened tint. The buttocks were quite well, only a faint purplish stain remain- ing, and on the right side lower down, where the mother said there had been several tumours, even the stain had faded. While the lesions on the back of the hands were conspicuously nodular, those on the palmar surface were more diffused from coalescence of the component nodules, which were only just dis- cernible, and the whole infiltration was less raised and defined. The affected parts were hotter to the touch, very slightly scaly here and there, but most of the nodules were quite smooth. The child was not subject to chilblains nor to factitious or other variety of urticaria, but was a well-nourished, apparently healthy girl. She was treated at the Victoria Hospital for Children with liquor