Selected monographs on dermatology / P.G. Unna [and others].

Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs on dermatology / P.G. Unna [and others]. Source: Wellcome Collection.

    60/636 (page 46)
    ON CIRCULAR PATCHES OF EXFOLIATION OE THE PALM AND TONGUE.1 (Exfoliatio Areata Pahnse Manus et Exfoliatio Areata Linguse.) The author understands by this a benign disease, limited to the skin of the palms, which has hitherto been, as far as he knows, undescribed. He saw the first case of this disease in a young girl, on whose palms and digital palmar surfaces circular patches were scattered, as large as sixpenny or shilling-pieces, where the epidermis looked as if it had been punched out. The bases of these shallow depressions were somewhat smoother than the surrounding skin and somewhat reddened, and the edges were raised. Some were smooth, some jagged, and some undermined. By the coalescence of these circular patches larger areas were formed, especially on the palms. The patient complained of some tenderness over the affected areas, but there was no itching. The usual symptoms of eczema were absent, and treatment directed against that disease failed. A year later he saw a similar case in a man of thirty, who had been ill only a few days—the disease only troubled him through the unsightliness of his hands. There 1 Ueber Kreisfleckige Exfoliation der Hohlhand und der Zunge,