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By Bethel Solomons (Auth.)

ISBN-10: 1483167895

ISBN-13: 9781483167893

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Example text

C l i n i c a l F e a t u r e s . — S k i n becomes yellow, thick, a n d h o r n y or w a r t y , a n d m a y i n v o l v e b a c k of h a n d s a n d feet. F i s s u r e s w h e n p r e s e n t are painful. Nails are usually deformed. Hyperidrosis m a y be present. A n acquired form, preceded b y hyperidrosis, shows similar changes. T r e a t m e n t . — F r a c t i o n a l d o s e s of X r a y s m a y b e of t e m p o r a r y b e n e f i t . KERATOSIS PUNCTATA PALMARIS ET PLANTARIS A rare congenital or acquired disease characterized b y multiple y e l l o w i s h , d i s c r e t e , firm, r a i s e d k e r a t o t i c p l u g s of t h e p a l m s a n d soles.

S i t e s : n e c k , axillae, flexures of k n e e s , e l b o w s , a n d g r o i n s . O t h e r a r e a s m a y b e c o m e i n v o l v e d , b u t n e v e r p a l m s , soles, o r s c a l p . S y m m e t r i c a l d i s t r i b u t i o n is t h e r u l e . M u c o u s m e m b r a n e s a r e s o m e t i m e s affected. E y e e x a m i n a t i o n s h o w s a r e d d i s h - b r o w n b a n d in t h e o p t i c d i s k a r e a a n d s h i n y s t r e a k s a l o n g t h e vessels. H a e m o r r h a g e s o r e x u d a t e s m a y also b e n o t e d .

H y p e r - or d e - p i g m e n t a t i o n , o r s c a r r i n g follows h e a l i n g . M u c o s a l lesions a r e b u l l o u s , i n f i l t r a t e d , o r l e u k o p l a k i c , a n d r a r e l y ulcerated. A t r o p h i c w h i t e p a t c h e s a r e left o n r e s o l u t i o n . Carcinoma develops rarely. N a i l s a r e d y s t r o p h i c , a n d often d e s t r o y e d . Milial lesions a r e c o m m o n o n r i m s of e a r s , b a c k of hands, a n d forearms. X E R O D E R M A P I G M E N T O S U M 33 D w a r f i s m a n d finger a n d t o e d e f o r m i t i e s m a y d e v e l o p .

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A Synopsis of Skin Diseases by Bethel Solomons (Auth.)

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