Identifier: readyreference00jack (find matches)
Title: The ready reference handbook of diseases of the skin
Year: 1908 (1900s)
Authors: Jackson, George Thomas, 1852- (from old catalog)
Subjects: Skin
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ta, but they mav occur on all partsand involve even the mucous membranes. (Fig. 39.)They give rise to no inconvenience except on account oftheir size, which sometimes may be that of a childs heador larger. Their usual size is from that of a cherry tothat of a walnut. Many of them show a slow growth,while many are stationary, and some may undergo invo-lution. Comedones of large size may accidentally formin some fibromata. The larger ones may ulcerate. Allof them feel soft, while the larger ones may be elastic tothe touch. When they hang down in the form of largeskin-folds which have undergone hypertrophy, the termfibroma pendulum is applied to them. Dermatolysis(which see) has been considered a form of fibroma. Ac- 318 DISEASES OF THE SKIN. cording to some authorities, fibrous moles and soft wartsare but forms of fibroma. Scattered among the tumors there may be irregularpatches of brown pigment, and more or less freckles,hairy moles, and vascular nsevi. The skin may be coarse. Fig. 39.
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Multiple fibromata.i Etiology. Fibromata usually appear in childhood,though they may not do so until later in life. They aresometimes hereditary, and are often seen in several mem- 1 From a photograph of a case of Dr. E. T. Tappey, of Detroit. FIG WART. 319 bers of the same family. They tend to increase with ad-vancing age—that is, they are not so large or numerousin children as in adults. Children with multiple fibro-mata are often stunted both physically and mentally. Bysome authorities they are regarded as related to neuro-fibromata. Pathology. The early tumors and the central por-tion of the older growths, consist of embryonic connectivetissue. The density of the tumors increase toward thesurface, the larger growths being provided with a firmfibrous sheath. Diagnosis. Molluscum fibrosum differs from mo//«,s-cum cantagiosum by not having a central depression, andby being of the normal color of the skin. They are alsousually far more numerous. From fatty tumors they dif-fer in no

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