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LIST OF CONTRIBUTORS

VOL. XXI.

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J. M. ANDERS, M.D., LL.D., of Philadelphia.
W. EASTERLY ASHTON, M.D., of Philadelphia.
J. M. BLAINE, M.D., of Denver.
CHARLES W. BURR, M.D., of Philadelphia.
DR. CESTAN, of Paris, France.

EPHRAIM CUTTER, M.D., LL.D., of New York.

DR. S. EHRMANN, of Vienna, Austria.
DR. CH. FÉRÉ, of Paris, France.
L. WEBSTER FOX, A.M., M.D., of Philadelphia.
E. S. GANS, M.D., of Philadelphia.
EDWIN V. D. GAZZAM, M.D., of New York.

E. B. GLEASON, M.D., of Philadelphia.

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C. H. GUBBINS, M.D., of Philadelphia.
STEPHEN HARNSBERGER, M.D., of Catlett, Va.
JOSEPH KRAUSKOPF, D.D., of Philadelphia.
JOSEPH M. MATHEWS, M.D., LL.D., of Louisville.
DR. C. MAZET, of Marseilles, France.

RUDOLF MEYER, M.D., of Cairo, Egypt.

H. BROOKER MILLS, M.D., of Philadelphia.
RALPH MINER NILES, M.D., of Pleasant Mount, Pa.
ISAAC OTT, A.M., M.D., of Easton, Pa.
GEORGE W. PFROMM, M.D., of Philadelphia.
CHARLES M. PHILLIPS, M.D., of Philadelphin.

THEODORE WILLIAM SCHAEFER, M.D., of Kansas City, Mo.

JOHN V. SHOEMAKER, M.D., LL.D., of Philadelphia.
T. G. STEPHENS, M.D., of Sidney, Iowa.
GEORGE B. H. SWAYZE, M.D., of Philadelphia.
DR. PHILIPPE VALENÇON, of Paris, France.

FRANK WOODBURY, M.D., of Philadelphia.

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Professor of Skin and Venereal Diseases in the Medico

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VOL. XXI.
PHILADELPHIA, JANUARY, 1899.

No. 1.
Clinical Lectures.

attempt to uproot it the shaft will probablys break. The baldness is due to a spontane

ous fall of the diseased hair. Many of the: TINEA CAPITIS-PSORIASIS.1

hairs are broken off close to the point of By John V. SHOEMAKER, M.D., LL.D.,

emergence from their follicles. This fract

ure gives a peculiar, characteristic, ragged Chirurgical College and Hospital of Philadelphia. or nibbled appearance to the affected spots. CASE I. TINEA CAPITIS.

These unsightly regions are, so to speak, GENTLEMEN: Our first patient this morn

moth-eaten, and this condition, taken in ing is a little boy, 9 years of age, whose conjunction with the eruption upon the

, father brings him here on account of an scalp, is diagnostic of the disease. It has eruption upon the scalp. The disease began also given the name to the malady. upon the top of the head and has been in

When I continue my examination I find existence for a month. There are other

that it is not only the hair which is affected. children in the family, but in none of them The scalp likewise betrays signs of disease. has the disease made its appearance.

I see roundish patches of a dull, grayish hue

The boy was attending school when first affected. and covered with thin, fine scales. Passing This is all the information which I can

my fingers over the surface I detect that the obtain from the parent. Our next step is

diseased spots are slightly raised above the to examine the child's head. Let me direct general level.

. your attention to the aspect of the scalp.

I also perceive a number of dark dots The appearance is characteristic and one

studded over the patch. These dots indithat should not easily be forgotten. You cate the position of hairs which have broken will observe that there are several partially limbedded in the follicles.

off short, leaving the lower part of the shaft bald spots. The hair is thin in these places, but that which remains tells its own story disease, to call it by name and distinguish

The next step in order is to identify this to the practiced eye. Are the hairs which you see upon the affected patches perfect? it from other disorders. In order to accomAre they of the usual length? Have plish this object we must recall the distinctthey the customary lustre of healthy

ive traits of those diseases which attack the hair? No. The merest tyro can affirm that scalp and hair. In the first place we may they are of unhealthy aspect. They are dry dismiss the idea of ordinary baldness, or

, and devoid of polish. If I seize one and alopecia. In the usual course of events and

in the absence of a severe febrile illness alo* Delivered in the Amphitheatre of the Medico-Chirur.

pecia does not attack nine-year-old children.

gical Hospital.

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