MELASMA

164

spots, too, are commonly observable, which one would summarily dismiss as pigmentary moles if one saw them in any one else.

From time to time cases of melasma not due to this cause have come under observation, and some of them are represented in the following models. In them the distribution of the pigment has been altogether different from that which is seen in supra-renal disease.

MELASMA SUPRA-RENALE. Two models (356 and 357) from a patient believed by Dr. Addison to have disease of the supra-renal capsules, as no doubt was the case.

356.

This model represents the man`s face, which is uniformly stained of a deep olive-brown colour

357.

This model represents the back of the right hand and fore-arm of the same patient. The discoloration of these parts is even deeper than that of the face, especially over the wrists and upon the knuckles. The hand looks just like that of a man belonging to one of the coloured races.

The patient was admitted into Guy`s Hospital suffering from loss of strength and energy. The discoloration had come on gradually. He left the hospital unrelieved. He afterwards continued to lose strength, and in a few weeks died.

MELASMA SUPRA-RENALE. Two models (358 and 359) from a boy affected with Addison`s disease of the supra-renal capsules.

358.

Model of the patient`s bust. The whole surface of the face, neck, and chest seen to be of a deep yellow-brown tint. The scalp, which is shaven, is paler.

359.

Model of the right hand and forearm of the same patient. These parts are also uniformly discoloured, the tint being a darker brown than that of the face.

This was the last case admitted into Guy`s Hospital under the care of Dr. Addison.
R. B- æt. 13, came under the care of Dr. Aldis at the Surrey Dispensary on March 29th, 1859, suffering from nausea, occasional vomiting, great pain in the back and prostration. He always felt languid and disposed to lie down. The pulse was extremely feeble.

[Page 163] [Page 165]

	MELASMA SUPRA-RENALE. Two models (356 and 357) from a patient believed by Dr. Addison to have disease of the supra-renal capsules, as no doubt was the case.

356.	This model represents the man`s face, which is uniformly stained of a deep olive-brown colour

357.	This model represents the back of the right hand and fore-arm of the same patient. The discoloration of these parts is even deeper than that of the face, especially over the wrists and upon the knuckles. The hand looks just like that of a man belonging to one of the coloured races.

	The patient was admitted into Guy`s Hospital suffering from loss of strength and energy. The discoloration had come on gradually. He left the hospital unrelieved. He afterwards continued to lose strength, and in a few weeks died.

	MELASMA SUPRA-RENALE. Two models (358 and 359) from a boy affected with Addison`s disease of the supra-renal capsules.

358.	Model of the patient`s bust. The whole surface of the face, neck, and chest seen to be of a deep yellow-brown tint. The scalp, which is shaven, is paler.

359.	Model of the right hand and forearm of the same patient. These parts are also uniformly discoloured, the tint being a darker brown than that of the face.

	This was the last case admitted into Guy`s Hospital under the care of Dr. Addison. R. B- æt. 13, came under the care of Dr. Aldis at the Surrey Dispensary on March 29th, 1859, suffering from nausea, occasional vomiting, great pain in the back and prostration. He always felt languid and disposed to lie down. The pulse was extremely feeble.