Text Appearing Before Image: alitativum. j Traumaticum. 1 Non-traumaticum. f Traumaticum. I Non-traumaticum. Scleroderma. Seborrhcea. Lupus. Syphilis. Favus, etc. The symptomatic atrophies will be spoken of undertheir proper headings. The other forms of atrophy willbe considered here. Atrophoderma Pigmentosum. Synonyms : Xerodermapigmentosum (Kaposi) ; Angioma pigmentosum et atro-phicum (Taylor); Dermatosis Kaposi (Vidal); Liodermiaessentialis cum melanosi et telangiectasia (Neisser); Mel-anosis lenticularis progressiva (Pick); Lentigo maligna(Piffard); Epitheliomatose pigmentaire (Besnier). Thisis a very rare disease of the skin, first described by Diseases of the skin. Lond. and Phila., 1905. 124 DISEASES OF THE SKIN. Kaposi in 1870 under the name of xeroderma, to whichhe subsequently added the adjective pigmentosum. Itis a congenital disease; almost all cases begin before thesecond year of life. Symptoms. It affects the parts most exposed to theair; the face, neck, chest, and back down to the level of Fig. 15. Text Appearing After Image: Atrophoderma pigmentosum. (After Crocker.) the clavicles, or even the third rib, the backs of thehands, forearms, and upper arms. The hands, face, andneck are most markedly diseased, while few cases haveoccurred upon the scalp, legs, and back of the feet.It begins with erythematous patches, like those producedby sunburn. After a time brown or black freckle-likespots form upon the erythematous ones. They are frompin-head to bean size and round or irregularly shaped.Small red spots appear among the pigmented lesions, ATROPHODERMA PIGMENTOSUM. 125 which Taylor thinks are their forerunners. The pig-mented spots in time give place to white atrophic ones,and the skin becomes too small for the underlying parts,so that it appears drawn and in some places bound down.A fully developed case presents a vast number of lentig-inous spots interspersed with white atrophic spots andstellate and striated telangiectases. After a time, onaccount of the atrophy of the skin, we find ectropion,thinned alee
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