All the members agreed upon the excellent results which had been obtained in the treatment of this case.
(4) A case of Linear lichen planus in a middle-aged woman, who had been under observation since August of last year. At that time she presented herself with no symptoms of the disease except a broad, linear patch running vertically across the popliteal space on the left side. This patch was of a violaceous tint, and the skin was thickened along its course and was intensely irritable. But there were no papules distinctive of Lichen planus on any part of the body, until about a month ago, when she began to develop an acute attack of the disease. It was interesting to observe that new papules continued the line of the original streak from the popliteal space up the back of the right thigh as far as the buttock in an almost unbroken line, other papules being distributed extensively upon the body, but without any linear arrangement. She had well-marked lesions of Lichen planus upon the buccal mucous membrane, which had also developed within the last few weeks. The itching was a very severe symptom, and it kept the patient awake at night.
(5) A case of syphilis in a man, aged 25 years, with an affection of the upper lip which it was a little difficult to classify, the question being whether it was a primary or a tertiary ulcer. The whole of the lip was greatly swollen, and at each angle of the mouth there was a deeply-excavated ulceration scabbed over, the intervening portion of the lip being occupied by a papillomatous infiltration resembling the appearance of frambœsiform syphilis. The man absolutely denied previous lesions of any kind; there was no scar upon the penis or upon any portion of the body, and no history of a secondary rash at any time. But the uvula bad been apparently destroyed by ulceration and was now merely rudimentary, and there was a deep ulcer upon the back of the pharynx very suggestive of tertiary disease. The absence of primary and secondary symptoms was peculiar. It should be mentioned that there was no pronounced enlargement of the glands in connection with the deep ulcers of the lip, which, it might be considered, precluded the diagnosis of primary sores here.
Mr. Arthur Shillitoe suggested the possibility of the case being an instance of tertiary symptoms in a patient the subject of congenital syphilis, but the teeth and physiognomy generally did not confirm this possibility. The general opinion supported the diagnosis of tertiary syphilis.
Mr. George Pernet showed a case of superficial scarring and telangiectases of the left side of the face and neck following an X-ray burn. The patient, aged 28 years, was treated three years ago in the provinces for what was said to be a tuberculous lesion upon the left side of the chin. As far as she recollected, the affected part was exposed on eight occasions to the X-rays for about ten minutes at a time, the eyes only being protected, but not the adjacent parts of the face and neck. The patient stated that as a result the face was dressed and bandaged for three months. The parts now exhibited the well-known characteristic features following such burns. The original lesion for which she had been treated appeared to be healed.
Dr. V. H. Rutherford showed microscopic sections from the case of multiple sarcoma cutis which he had exhibited at the previous meeting of the Society:
(1) An early nodule—the size of a pea—over which the skin still retained its natural colour, displayed chiefly fibrillary bundles with a small number of cells in various stages of development, some being round, others elongated with fine protoplasmic processes, and others again with irregular outlines.
(2) In a later nodule—the size of a bean—over which the skin had become red, the bundles of fibres were replaced by typical small round cells (lympho-sarcoma). The sections were stained with hæmatoxylin.