Reporter and Reference |
Sex and Age. |
Previous History, and Duration of Illness. |
Symptoms. |
Colour of Skin. |
Post-Mortem Examination. | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
State of Supra-Renal Capsules. |
State of other Organs. |
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1. |
Male, 25, sailor. |
Had had yellow fever in Crimea; never well afterwards; skin much tinged at time of fever, and has latterly got darker. Last illness, fourteen days. |
Dyspna; pain in left side; dusky, bloated countenance, anxious and disturbed expression. |
Entire surface more or less bronzed - face, arms, and hands least; areolæ dark, colour deepest on lower part of trunk, on scrotum and penis, and inside thighs. Under microscope, large deposit of pigment in rete mucosum. |
Both quite healthy. |
Pneumonic consolidation of both lungs. |
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2. |
Male, 66, cabman. |
Jaundice seven years before, followed by darkening of skin on face, neck, and other parts; for five years, colour remained un-altered, and health good. Illness, six months. |
None recorded; patient has ascites. |
Face, neck, and arms dark; over trunk, and especially abdomen, colour diversified with irregular white patches; conjunctivæ slightly yellow, with a little dark pigment; a dark patch on mucous membrane of lips. |
Healthy |
Hob-nail liver; spleen greatly enlarged. |
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3. |
Female, 45, sempstress. |
Had been insane five months prior to commencement of discoloration. Discoloration, nine months. |
Convulsive movement of body and legs; mind weak and childish, appetite voracious; progressive emaciation. Three attacks of apoplexy; the third fatal. |
Discoloration began with sallowness of face; the skin of face, arms, hands, and body, became as dark as a Mulatto`s, but with a yellow tinge; conjunctivæ very clear. |
Committee of Pathological Society reported that they did not look upon the supra-renal capsules as diseased. |
Healthy, excepting brain and skull. |
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