A Text book of Pathological Anatomy And Pathogenesis volume 2
A Text book of Pathological Anatomy And Pathogenesis volume 2
Ernst Ziegler
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It takes the form of local or general stiffening and hardening of the skin without any apparent external cause : it is somewhat rapid in its onset, and then remains stationary or passes away, to be succeeded by a fresh CH. XXXIX. ] INFLAMMATORY HYPERTROPHIES. 187 attack or by a condition of cutaneous atrophy. It affects the face, limbs, and trunk ; the patient often being literally ' hide-bound. ' The skin feels as hard as a board, or like that of a frozen corpse (KAPOSI). It is said that the f...ibrous tissues of the skin are hyperplastic and here and there infiltrated with small cells (CHIARI, Viertelj. F. Derm. U. Syph. V ; for cases see DUHRING, Diseases of the skin 1882). In one case of the disease HELLER (Arch. F. Klin. Med. X) found that the thoracic duct was obliterated. Sclerema neonatorum is a hardening of the subcutaneous connective tissue met with in infants, and chiefly affecting the legs and feet. According to L ANGER (Wiener Sitzungsber. 1881), it is due to the solidification of the panniculus adiposus by cold when the infant becomes collapsed.
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