Diseases of the Skin by James H. Sequeira (Auth.)

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By James H. Sequeira (Auth.)

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267. Fox, WILFRID. , pp. 15, 47. Milium congénitale. A very rare condition, of which Dr. Radcliffe Crocker described two cases. The lesion is a pale reddish-yellow plaque on the head or face. The surface is finely granular and composed of closely aggregated pale yellow papules the size of a pin's point. Comedones are present at the borders and scales on the surface. Patches on the scalp are hairless. The lesions are present at birth and do not alter. They are apparently naevoid structures and consist of nucleated epithelial cells in the corium enclosed in a kind of CONGENITAL AFFECTIONS OF THE SKIN.

FIG. —Tylosis. The left palm was similarly affected. The affection was known to have occurred in four generations. Pathology. The condition is a hyperkeratosis. Clinical features. The palms and soles are symmetrically affected, being covered with thick horny yellowish plates with a well-defined margin. The normal fissures are exaggerated. In some cases the skin is darker, often brown or nearly black, the fissures producing a mosaic-like appearance or a rough surface resembling the bark of a tree.

The most CONGENITAL AFFECTIONS OF T H E SKIN. 39 satisfactory results are obtained in superficial angiomata by the local application of extreme cold. This may be carried out by liquid air or by solid carbon dioxide. The liquid air is obtained in globular receptacles containing a litre. ) Pledgets of cotton wool held in a pair of sponge-holders are dipped into the liquid and instantly applied to the surface to be treated and pressed firmly for a few seconds. The immediate effect is a contraction of the vessels, the surface becoming white as if an escharotic had been applied.

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