Syphiloderma papulosum circinatum / by I. Edmondson Atkinson.

  • Atkinson, I.
Date:
[1882]
Catalogue details

Licence: Public Domain Mark

Credit: Syphiloderma papulosum circinatum / by I. Edmondson Atkinson. Source: Wellcome Collection.

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    prior to vaccination, and the appearance of this disease soon after. The health officer said that out of fifty or sixty thousand cases of vaccination, this was the only case he had seen of psoriasis. The speaker was only surprised that there had not been more. If we take the statistics of pso¬ riasis, and compare them with the enormous number of people who have been vaccinated, it will be remarkable that there have not been more cases of this kind falling under our notice. In this connection he recalled the case of a lady who made an appointment with a dentist to take chloroform and have some teeth extracted. She came at the appointed time, and asked to have the operation postponed, as she did not feel well. She left the room, and fell dead on the steps. If she had taken the anaesthetic, there might have been another death from chloroform reported. Dk. Rohe said that no doubt more cases of psoriasis following vaccin¬ ation have occurred that have never been reported, and he had been sur¬ prised that he could find no record of such cases. With regard to the remark of Dr. Taylor, referring to the appearance of psoriasis after scar¬ latina and measles, he said that they were not analogous, because in such cases there was present a general hypergemia of the skin; he would merely say that in the first case there had not been a general hyperaemia, because the vaccination had not been successful. SYPHILODERMA PAPULOSUM CIRCINATUM.1 BY I. EDMONDSON ATKINSON, M.D., Professor of Pathology and Clinical Professor of Dermatology, University of Maryland. HERE is a form of papular syphilitic secondary eruption, which, while A it has received passing notice at the hands of numerous syphilo- graphers, has not had given it the attention its peculiar characters deserve. I refer to the eruption that has, as its starting point, the large, flat papular syphiloderm, and to which the name heading this paper has been given by Dr. George H. Fox (Photographic Illustrations of Cutaneous Syphilis, p. 63, pi. ix.). Its peculiar feature is its centrifugal extension by a narrow border of elevation; while its central portions nearly or quite return to their normal limits as the process extends, very much as occurs in tinea circinata. The lesions differ essentially from the w^ell-known annular or circinate eruption of papulo-tubercle so con¬ stantly present as cutaneous manifestations of late secondary and tertiary syphilis; for while these are nearly always expressions of the disposition of late syphilis to group its lesions in a circular arrangement, even at the moment of their development and at distinct intervals of space, so that 1 Read at the meeting of the American Dermatological Association, September 1, 1882.