Two cases of morphoea : with remarks on the disease and its differential diagnosis / by L. Duncan Bulkley.

  • Bulkley, Lucius Duncan, 1845-1928.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of morphoea : with remarks on the disease and its differential diagnosis / by L. Duncan Bulkley. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    WITH REMARKS ON THE DISEASE AND ITS DIFFERENTAL DIAGNOSIS MORPHCEA is a disease of which so little is known, and which has so recently acquired a definite and well recog- nized place in Dermatological literature, that each well observed case adds to our knowledge of it and enables us to make a more full study of the characters of this strange affection. The two following cases are, as far as I am aware, the first which have been described by an American writer, although I know that a number of cases have been observed in this country and the disease recog- nized by others. By morphoea is understood the affection now thus designated by Wilson and Tilbury Fox, also by Fagge, Hutchinson and others, and which corresponds to or rather is the disease described by Addison as true keloid, although the latter from his description evidently includes the now well-recognized scleroderma under the same name. Fox thinks that morphaea bears certain relations to scleroderma, that indeed it may be a phase of it or it may exist alone. 1 cannot see any connection between the two, the morbid pro- cesses appear to be entirely distinct, as will appear later. Wilson declares that morphoea is related to elephantiasis Grajcorum, true leprosy, that it is iiTdeed the remnant of the disease handed down from former generations ; this view is but little borne out either by the clinical history or the phenomena of the disease, and, from the recent study made by the direction of the English government into the skin diseases of India and hot climates generally, it is found th;vt morphoea is not known where the leprosy abounds, although a few of the reporters evidently committed the error of confounding spots of morphoea with the white spots of macular and anaesthetic