Identifier: practicaltreat00hyde (find matches)
Title: A practical treatise on diseases of the skin, for the use of students and practioners
Year: 1888 (1880s)
Authors: Hyde, James Nevins, 1840-1910
Subjects: Skin
Publisher: Philadelphia, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ers. Itis much rarer in this country than abroad, occurring here with nearlythe frequency of lupus erythematosus. It is in no way related toeither acquired or hereditary syphilis. The author is in practical agreement with Neisser, who believesthe disease to be a partial manifestation of tuberculosis. Though 31 482 DISEASES OF THE SKIN the actual demonstration is yet wanting, the proofs at hand pointconclusively to the feet that lupus vulgaris should be classed withthe infectious granulomata. The author has elsewhere called atten-tion to the striking fact that the disease is commonly first manifestedat the early period of life, when the habit is not yet established ofkeeping the soiled hands away from the face. Infection of the skinwith the bacilli of lupus would thus produce, as is the fact, faciallesions in tin- majority of all cases and lesions of other exposed partsof the body (bare legs of children) in the order of ease with whichthey might become the .-eat of infection.1 Fig. 60.
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d d Section of .1 lupous nodule. 6, normal curium ; «, reticulum with lupous elements in groups;c, d, giant cells. (After Kaposi.) Pathology.—For a knowledge of the microscopic characters of lupusvulgaris we are largely indebted to the Germans, whose opportunitiesfor the study of the disease are unequalled. Virchow, Auspitz, Bill-roth, Lang, Kaposi, Klebs, Stilling, and Thin, of England, haveamply contributed to the subject: and the result of their investiga-tions may be concisely stated as follows: 1 Relations of Lupus Vulgaris to Tuberculosis, Journ. of Cutan. and Vener. Dis., Nov. 1885. LUPUS VULGARIS. 483 The more recent nodules when divided exhibit at different depthsof the corium roundish masses, comparable to a nidus or nest, abovewhich spreads an unaltered epidermis. These foci of the disease arewell denned in outline, and of a reddish-yellowish tint. Aroundthem is woven a network of connective-tissue bundles; with larger Fig. 61.

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