Columnae adiposae, a newly-described structure of the cutis vera : with its pathological significance in carbuncle and other affections / by J. Collins Warren.

  • Warren, John Collins, 1842-1927.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: Columnae adiposae, a newly-described structure of the cutis vera : with its pathological significance in carbuncle and other affections / by J. Collins Warren. 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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    diphtheritic inflammation of the skin. . . . Koch- man thinks that carbuncle as well as furuncle originally develops from a sweat gland or from several adjacent glands. J. Neumann distinguishes between carbuncles from sweat glands and from cellular tissue.” In Neu- mann’s book I find no such distinction. In the Nouveau Dictionnaire de Medecine et de Chi- rurorie it is defined as an inflammation of the subcuta- O ^ neous cellular tissue, with a tendency to mortification of the skin. The author believes that the affection begins ordinarily in the cellular tissue lying between the fiiscia and the skin. It differs only from a furuncle in the ex- tent and depth of its inflammation. In Holmes’s Sys- tem of Surgery it is also described as attacking the sub- cutaneous tissue and involving the skin. Mr. Ledvvick^ gives the following summary of views on the pathology of this affection : “ There is much discrepancy of opinion in relation to the precise seat of this disease at its commencement. Rokitansky ^ be- lieves the affection has its origin in the deep layer of the corium, involving the areolar tissue in its meshes, and subsequently extending to the subcutaneous struct- ure. Brodie ® remarks that the disease may com- mence in the elongations of the cellular membrane. . . , Dupuytren ^ believes that the dermoid pi’olongations of the areolar tissue, which become strangulated, are the peculiar localities of the disease, accounting thus for the cribriform suppuration of the skin and subse fluent sloughing; whilst Hunter ® insists that its source 1 Dublin Quarterly Journal, vol. xxii. p. 403. Rokitansky, Pathological Anatomy, vol. iii. p. 85. 3 Brodie’s Lectures on Pathology, page 392. ^ Dupuytren, Clinique chirurgicale, t. iv. p. 111. ® Hunter on Inflammation, page 372.