Kraurosis vulvæ : a disease of chronic inflammatory nature and characterized by cutaneous atrophy, with marked shrinking and contraction of the vaginal orifice / by J.M. Baldy and H.L. Williams.

  • Baldy, J. M. (John Montgomery), 1860-1934.
Date:
[1899]
Catalogue details

Licence: Public Domain Mark

Credit: Kraurosis vulvæ : a disease of chronic inflammatory nature and characterized by cutaneous atrophy, with marked shrinking and contraction of the vaginal orifice / by J.M. Baldy and H.L. Williams. Source: Wellcome Collection.

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    pale and slightly oedematous, the elastic fibres become indistinct, blend, lose their wavy outline, and become hyaline in character and matted together. Small round cells are found in large aggregations immedi¬ ately beneath the epidermis, diffusely scattered throughout the corium and infiltrating the papillae. In other places the corium appears dense and sclerotic, with scarcely any nuclei to be seen. The blood-capil¬ laries have disappeared from the corium except in a few places, and no sebaceous or sweat* glands can be found in any of the preparations. Areas of small round-cell infiltration extend deeply into the subcuta¬ neous tissue, which also shows sclerotic changes. Here, also, hemor¬ rhages have taken place, and free red blood-corpuscles are diffusely Fig. 6. Showing hypertrophied epidermis, adherent blood-crust on the surface ; fissure extending through epidermis into the corium ; and extensive round-cell infiltration in the subepithelial tissue. Hair-follicles and sebaceous glands entirely absent. scattered through the loose stroma. Bloodvessels, fat, and unstriped muscle are present in normal amount. Points of special interest to be noted are the peculiar bundles that are found in the upper layers of the subcutaneous tissue. These can be seen both in longitudinal and iu cross-section, and are well shown in the cut. (See Fig. 5.) While present in such numbers that it seems practically out of the question that they should be degenerate nerve-fibres, the histological resem¬ blance is nevertheless most striking. The fibres are in distinct bundles, surrounded by dense fibro-elastic tissue, and on cross-section appear like nerve-fibres. The centre of each fibre is occupied by a dark round