Report of a case of multiple myomata of the skin, accompanied by sever pain : with remarks / by W.A. Hardaway.

  • Hardaway, W. A. (William Augustus), 1850-1923.
Date:
[1885 or 6?]
Catalogue details

Licence: Public Domain Mark

Credit: Report of a case of multiple myomata of the skin, accompanied by sever pain : with remarks / by W.A. Hardaway. Source: Wellcome Collection.

    1/6 (page 511)
    To the other anatomical features of the case we do not propose to refer. The reader will doubtless have noted the identity of the condi¬ tions with those in pernicious anaemia, even to the hyperplasia of the bone marrow and the pigmentation of the cells in the organs. One point, however, is worthy of note, viz., the large size and healthy ap¬ pearance of the pancreas. This organ varies greatly in size, but we re¬ gard it as certainly hypertrophied in this case, and we may see here pos¬ sibly a compensatory effort to supply the defects in gastric digestion. A careful study of this case justifies, we believe, the conclusion that a primary atrophy of the mucous membrane of the stomach does occur; and it further bears out the original suggestion of Flint, confirmed by Fenwick, Nothnagel, and others, that certain of the cases of progressive pernicious ansemia depend upon profound alterations in the gastric tubules. For the sections and drawings we are indebted to the skill of Dr. J. P. Crozier Griffith. REPORT OF A CASE OF MULTIPLE MYOMATA OF THE SKIN, ACCOMPANIED BY SEVERE PAIN; WITH REMARKS.1 By W. A. Hardaway, M.D., PROFESSOR OF DISEASES OF THE SKIN IN THE ST. LOUTS POST-GRADUATE SCHOOL OF MEDICINE, AND IN THE MISSOURI MEDICAL COLLEGE, ST. LOUIS. The following case, of which I shall present brief notes, together with a plaster cast showing the size and general arrangement of the growths, is, I think, worthy of record as a contribution to the study of painful tumors of the skin : J. B., German, aged thirty-six years; he is married and has two healthy children; his wife is also healthy. Llis family history is good, and he does not recall that either of his parents ever suffered from any cutaneous disease. He has never had syphilis. So far as his knowledge goes, his present trouble began about one year ago. He observed that when the weather changed—that is, became either hot or cold—he experienced a drawing pain, lasting about five minutes, in the place where the lesions are now situated. When the pain subsided he was unaware of anything abnormal in this situation. These pains were absent sometimes for two or three weeks, sometimes a day, sometimes three or four days. To relieve these paroxysms he would make firm pressure over the affected region. At this time, however, he does not remember that, between the paroxysms, any pain was evoked by either accidental or intentional pressure. Later on, but he cannot say when, he was aware of the presence of a few lesions, and from time to 1 Read before the American Dermatological Association, August 27, 1885.