closely approximating growths upon them, while under the thick
epidermis of the palms of the hands were blisters. Itching was intense.
The patient became emaciated and died thirteen days after his admission
into the hospital. A histologic examination showed the sarcomatous
nature of the various growths. The disease differed from
"button-scurvy." Mycosis fungoides approximates, clinically and
histologically, granulomata and sarcomata.
Morris described an interesting case of universal dermatitis, probably
a rare variety of mycosis fungoides. The patient had for many years a
disease which had first appeared on the arms and legs, and which was
usually regarded by the physicians who saw the case as eczema. At times
the disease would entirely disappear, but it relapsed, especially
during visits to India. At the time the patient came under the care of
Morris, his general health seemed unaffected. The skin of the whole
body, except the face, the scalp, and the front of the chest, was of a
mahogany color. The skin of the lips was so thickened that it could not
be pinched into folds, and was of a mottled appearance, due to
hemorrhagic spots. All over the thickened and reddened surface were
scattered crops of vesicles and boils. The nails were deformed, and the
toes beyond the nails were tense with a serous accumulation. The glands
in the right axilla and the groin were much enlarged. The hair on the
pubes had disappeared. The abdomen was in a condition similar to that
upon the limbs, but less in degree. The front of the chest below the
nipples was covered with dark papules the size of a pin's head. The
back, the buttocks, the face, and the scalp presented similar lesions.
The most striking lesions were three ulcers--one on the back of the
right hand, one on the right temple, and the other on the left cheek.
The largest was the size of a florin, and had elevated borders,
somewhat infiltrated; they were covered with a brown, dry scab. The
patient suffered from itching at night so that he could not sleep. He
was kept under observation, and in spite of treatment the malady
advanced in a periodic manner, each exacerbation being preceded by a
feeling of tension in the parts, after which a crop of vesicles would
appear. Sometimes, especially on the feet, bullae formed. The patient
finally left the hospital and died of an intercurrent attack of
pneumonia. A microscopic examination revealed a condition which might
be found with a numb
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