A case of sarcomatous "inflammatory fungoid neoplasm" / by Louis A. Duhring.

  • Duhring, Louis A., 1845-1913.
Date:
[1883]
Catalogue details

Licence: Public Domain Mark

Credit: A case of sarcomatous "inflammatory fungoid neoplasm" / by Louis A. Duhring. Source: Wellcome Collection.

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    (Reprinted from the “ Medical News ” of January 6, 1883.) A CASE OF SARCOMATOUS “INFLAMMATORY FUNGOID NEOPLASM.” BY LOUIS A. DUHRING, M. D. Professor of Skin Diseases in the University of Pennsylvania. The following case of this rare and grave disease presented itself at my clinic for diseases of the skin at the University Hospital, on November 14, 1882. The patient was exhibited to the class and the prominent features of the affection pointed out in the course of the lecture. The disease is of such rarity and interest as to entitle the case to a place on record, and I shall therefore, without further preface, briefly describe the most important symptoms. The history (for which I am indebted to Dr. Van Harlingen) states that the man, Charles Coyne by name, is a laborer; fifty-two years of age, and a native of Ireland. He enjoyed good health until he was thirty years old, when he was attacked with eczema of the hands, which gradually in¬ vaded the feet and other regions until in a short time al¬ most the whole surface became involved. The eczema was always dry and slightly scaly, and itched severely. About eight years ago the disease under consideration made its appearance in the form of a pea-sized tubercle situated over the left eyebrow. It was at first the same color as the surrounding normal skin, but afterwards became pale-red, and later somewhat purplish in shade. It, as well as all subsequent lesions, from the beginning, itched violently. It grew gradually, so that by the end of a year it was as large as a hazel-nut, and has since increased to its present size. About a year after the appearance of the tubercle referred to, a similar growth came upon the right eyebrow, which has followed the same course. Later, like formations, symmetrically disposed, manifested them-