Case of congenital xanthelasma palpebrarum / by Thomas Barlow.

  • Barlow, Thomas, Sir, 1845-1945
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Case of congenital xanthelasma palpebrarum / by Thomas Barlow. 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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    Reprinted from the ‘ Transactions of the Pathological Society of London,' 1884.] Case of congenital xanthelasma palpebrarum. By Thomas Baelow, M.D. [With Plate XXVII.] AB—, a boy, aged 6 years 11 months, was sent to me in • February last by Mr. Swindell, of Finchley, on account of general feebleness of health and poor nutrition. In examining the boy I noticed certain skin lesions, most of which have been fairly portrayed in the accompanying plate from a sketch by Mr. Iiurst, and to them I will in the first place refer. There were typical chamois leather patches of xanthelasma in the following situations:—Beyond the right external canthus there was a trian- gular area, the greatest length of which was half an inch, and the greatest breadth a quarter of an inch ; this was the largest patch. There was a small oval patch immediately above the external can- thus, and there were two small round patches on the left upper lid— one over the middle, the other over the outer end of the lid. All these patches were slightly raised and of typical buff colour. There was slight streaky orange-coloured pigmentation, without perceptible thickening of the skin, extending obliquely downwards and outwards for about three quarters of an inch in the fold below the right eye, and besides a like streak on the left side in a like situation there was another small streak below the outer canthus. There was also brownish-yellow staining, without thickening of the skin, of the helix of each ear. On the tip of the left shoulder, between the end of the clavicle and the acromion, there was a small, oval, raised buff spot. Below the left shoulder there was some brownish pigmentation observable on two of the vaccine cicatrices. For three or four inches above the elbow on the back of the left arm, and also a little below the left elbow on the back of the forearm, there were some pale purplish areas, probably due to dilated venules, with slight brownish-yellow staining between. The boy’s skin generally was of a muddy sallow colour. He had a few chicken- pox scars on his body, but they were not pigmented. His hair was brown and his irides greyish blue. His conjunctivae were quite clear. His muscular development was remarkably poor ; this