MELASMA

166

deposit at its apex, and on the posterior border of the lower lobe of the right lung there were some recent tubercles.

The heart was small and rather flabby. The solitary glands of the ileum were rather marked, but there was no ulceration.
The supra-renal capsules were small and contracted. The right was firmly adherent to the liver, seeming almost to be embedded in its surface. It was exceedingly hard, and on section showed a quantity of firm white tissue as well as calcareous matter. The left one was so embedded in fat, and attached by fibres passing through the fatty tissue, that its outline could not be defined. It also was a hard mass, and contained calcareous matter mixed with a viscid fluid.
The lower part of the tibia and astragalus, as well as others of the tarsal bones, were soft and easily cut by the knife. Their cancellous tissue was partly red, partly yellow or fatty. The ankle-joint was healthy, and none of the tarsal joints appeared to be in any way diseased.
Inspection, No. 244, 1865.
See also model of the supra-renal capsules.

MELASMA. Two models (362 and 363) from a case of simple melasma.

362.

Model of the right side of the abdomen, which is mottled with black pigmentary stains of irregular form and distribution.

363.

Model of the left thigh of the same patient taken at a later period, when that part had become affected. The whole surface is seen to be mottled with spots of a purplish brown colour, which here and there run together.

Frances H-, a young girl, came among Dr. Fagge`s out-patients in the year 1870. She said that three years previously a few spots, of the size of peas, came on her breast and coalesced. Others appeared about the loins; faint at first, but afterwards darker. They showed no tendency to increase in size, but became much more numerous, so as to cover the whole trunk; their colour was especially deep on the lower part of the abdomen. At first there were none on the face, arms, or legs, and only some very faint ones on the neck. Some spots were, perhaps, slightly scaly. There was no itching. The skin was soft and supple, and the disease was evidently due to an abnormal deposit of pigment. No other members of the girl`s family were similarly affected.

364.

? MELASMA. Model of the abdomen and pubic region of a young person, presenting irregular maculæ of a dark

[Page 165] [Finish (HOME)]

	deposit at its apex, and on the posterior border of the lower lobe of the right lung there were some recent tubercles. The heart was small and rather flabby. The solitary glands of the ileum were rather marked, but there was no ulceration. The supra-renal capsules were small and contracted. The right was firmly adherent to the liver, seeming almost to be embedded in its surface. It was exceedingly hard, and on section showed a quantity of firm white tissue as well as calcareous matter. The left one was so embedded in fat, and attached by fibres passing through the fatty tissue, that its outline could not be defined. It also was a hard mass, and contained calcareous matter mixed with a viscid fluid. The lower part of the tibia and astragalus, as well as others of the tarsal bones, were soft and easily cut by the knife. Their cancellous tissue was partly red, partly yellow or fatty. The ankle-joint was healthy, and none of the tarsal joints appeared to be in any way diseased. Inspection, No. 244, 1865. See also model of the supra-renal capsules.
	MELASMA. Two models (362 and 363) from a case of simple melasma.

362.	Model of the right side of the abdomen, which is mottled with black pigmentary stains of irregular form and distribution.

363.	Model of the left thigh of the same patient taken at a later period, when that part had become affected. The whole surface is seen to be mottled with spots of a purplish brown colour, which here and there run together.
	Frances H-, a young girl, came among Dr. Fagge`s out-patients in the year 1870. She said that three years previously a few spots, of the size of peas, came on her breast and coalesced. Others appeared about the loins; faint at first, but afterwards darker. They showed no tendency to increase in size, but became much more numerous, so as to cover the whole trunk; their colour was especially deep on the lower part of the abdomen. At first there were none on the face, arms, or legs, and only some very faint ones on the neck. Some spots were, perhaps, slightly scaly. There was no itching. The skin was soft and supple, and the disease was evidently due to an abnormal deposit of pigment. No other members of the girl`s family were similarly affected.