Two cases of morphoea : with remarks on the disease and its differential diagnosis / by L. Duncan Bulkley.

  • Bulkley, Lucius Duncan, 1845-1928.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of morphoea : with remarks on the disease and its differential diagnosis / by L. Duncan Bulkley. 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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    ful palpation, with the eyes shut, as was demonstrated to and per- formed bv a number of physicians present at the clinic. I he af fected skin has a hardened, leathery feel, or rather like that of pork- rind which has been cooked, and although it does not pit upon pres- sure, a sensation is giv6n as though the tissue was infi trated with some lardaceous or waxy substance 3 it cannot be pinched up, but the resistance to this seems rather to be in the doughy thickening of the skin than in any fibrous, bound-down condition as in sclero- derma • pressure on it downwards and sideways moves a consid- erable extent of skin. The color of the diseased portion' is o a brownish or dirty yellow (billiard-ball) hue, more or less mottled with light and dark patches of the same color, which surface con- trasts very markedly with the slightly but distinctly reddened mar- gin around its entire extent. This margin is eryUiematous, disap- pearing momentarily on pressure, and shades off insensibly into the normal coloration of the adjoining healthy skin, with an abrupt margin on the side of the diseased skin, borne portions of the diseased surface present a marble-like whiteness, especially toward the edge of the hardened skin, the central portions being darker Where^single lines of disease exist, as at the margin and near the ankll theie is a slight depression of surface, but ,n general he diseased portions are on about the level of the surrounding healthy Skirihree\veeks^ater ^complained of pain running down the internal surface of the limb, and on deep examination a hard cord- movable. The line of demaraction is still red, but not so defiion Octobe°rre7 1876 it was recorded that the patient was very much better ; that the lower portions of Jhe dl^sedJeg had tost un^ereoteen^ion,^but th^ p^^ress, ilT'the morbid process. ' The disease whose usual clinical history is v^ ^fectly^or- trayed in the preceding notes o t ic w • b ” dictated to my recorded at the time, (those of the latter case o B observetl at assistant, Dr. Robert Campbell, attending my clinic at the same time by six or. Y^kin^TeatuVes which should render its Demilt,)'presents several stnkinfe ttatu •,