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Classics in Clinical Dermatology with Biographical Sketches, by Walter B. Shelley, John Thorne

By Walter B. Shelley, John Thorne

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Additional resources for Classics in Clinical Dermatology with Biographical Sketches, 50th Anniversary Second Edition

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On Cutaneous Diseases. London, 1808, p. IX. ROBERT WILLAN 7 I propose to arrange cutaneous diseases in eight orders, to be characterized by the different appearance of papulae, scales, rashes, bullae, vesicles, pustules, tubercles and maculae. By comparing together the 2nd, 5th, 6th, 7th, 8th, 10th, 11th and 12th definitions, the distinguishing characters of each order may be readily understood. They will also be further illustrated in treating of the orders respectively. PSORIASIS Scaly Diseases of the Skin* The second Order of Cutaneous Diseases includes those affections, which are characterized by an appearance of scales, arising from a morbid state of the cuticle, as specified in the second definition.

Of this we have an example in the affection of the hands and fingers, produced by the irritation of sugar, which is commonly called the grocer’s itch; and which is in some persons vesicular, in others pustular. The acrid stimulus of lime occasions similar eruptions on the hands of bricklayers: and one of the most severe cases I have ever witnessed, occurred on the hands of a filemaker, being occasioned perhaps by the united irritation of the heat of the forge and the impalpable powder of steel with which they were constantly covered during his work.

The eruption is not attended with any pain or uneasiness, excepting a slight degree of itching, felt when the person affected becomes warm in bed, and a sensation of tingling upon any sudden change in temperature of the atmosphere. This species of Lepra sometimes appears first at the elbow, or on the forearm, but more generally about the knee. In the latter case the primary patch forms immediately below the patella. Within a few weeks several other scaly circles appear along the fore parts of the leg and thigh, increasing by degrees ‘till they come nearly into contact.

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