Swelling the fingers diminished slightly, and then increased again at intervals two or three months, but subsided after two years, leaving the fingers in their present condition. Never any discharge, nor was skin fingers ever broken.
case its kind, unique.
An early lesion hereditary syphilis. An infant, whose mother had tertiary syphilis, had mucous patches and an enlargement the last phalanges the fingers. At first regarded as false thesis writing service spina ventosa and unsuccessfully treated antrstrumous remedies, but, when mercury was given, the mucous patches soon disappeared, and the bones were reduced their normal size.
An analysis these cases enables divide them into two classes First, that in which the subcutaneous white paper writing services connective tissue as well as the fibrous structures the articulations and the phalanges are involved second, that in which the morbid processes begin in the periosteum and bones, and secondarily writers freelance implicate the joints, and may or may not accompanied deposit in the subcutaneous connective tissue. The clinical history the two different. Liiche's cases and own are types the first variety, and those and Volkman, the second.
The neoplasm deposited that immature form connective tissue called gummy material. It deposited, as a rule, more copiously over the dorsal than over the palmar and plantar surfaces, Nelaton's case being the only exception, and may develop slowly or do my college paper for me rapidly.
where connective tissue very loose and abundant, for instance, over the glutei or gastrocnemii muscles, they may recognized at an early stage as small, movable, isolable tumors, with movable integument. Later, they adhere the derma, and perhaps the deep tissues. This rare if they are formed over bony surfaces, where the integument more closely attached and the connective tissue less.
Here, as a rule, they are attached from the first the deep layers the corium, sometimes even seeming reach the periosteum. No one has yet described an isolable condition the gummy tumor in the fingers or toes, being always adherent the corium, as when developed over the tibia.
Such tumors, like those elsewhere, when not over nerves, retain their normal sensation and are free from pain, interfering, however, often with prehension and locomotion.
Their chronicity varies with their density structure and localization. They are liable relapse and also augment in volume aft a period indolence. The usual necrotic tendency gummy tumor seems wanting here, for there no recorded case phalanges denuded superficial where can i buy research papers gummy destruction, a condition sometimes, though rarely, served over the dorsal surface the metacarpal and metatarsal bones. But gummy tumor not the sole product late syphilitic inflammation there also a proliferation normal cells, and the co-existence these two conditions may explain the gradual absorption rather than molecular death. Then, too, in the fingers and toes there seems exist a peculiar reparative tendency, as evinced in lesions traumatism. Tumors first class are violaceous in color, tenses and resistant the touch from the homework help writing essay density the material, and give no marks a colloid nature, though coincident with colloid gummy tumors elsewhere. The lividity decreases with the absorption the gummy deposit. The nails, as a rule, escape synchronous depositive or destructive change and when in the tertiary period the nail destroyed, ulceration involving the matrix and sold the nail without any osseous lesion.