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On This Day   January-04  (Benjamin Rush -1746 AD)

Benjamin Rush was one of the major political leaders who participated in the American Revolution and signed the U.S. Declaration of Independence in 1776 who insisted in medical freedom as in religious freedom but was not successful making it an article of the constitution...

 
 
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MOLLUSCUM
There are two rather rare conditions to which the name molluscum (the name of a kind of shellfish, from mollis, soft) has been given.
Molluscum contagiosum first appears as a tiny circular wart, which gradually increases in size until it resembles a pea. It is then somewhat bluish-pink in colour, and rises sharply from the surrounding skin surface, having steep, rounded margins and a somewhat flattened top. In its centre is a minute aperture which leads into the growth and contains a whitish plug. Firm and appropriately directed pressure will squeeze a tough, whitish material through this hole.
Each lesion grows for a time and then remains stationary. The growths often undergo involution, i.e. return to the normal, or they may becoine inflamed, suppurate, and leave ulceration behind. Around the first growth there appear scattered and younger lesions, each of which follows the same cycle. They are most commonly seen on the face or the genitals, but they may be distributed anywhere. The disease is common in birds, and in them it is frequently fatal. Apparently it may be conveyed direct from them to man.
It is more often seen among the poorer classes. The causative organism is ultramicroscopic. Each lesion has to be dealt with separately. After extrusion of the plug an antiseptic is inserted into the centre of the tumour by means of a fine probe. Pure carbolic acid at often used, though and silver nitrate or tincture of iodine are most often used, though too many lesions must not be treated at one sitting if the disease is widely generalised, owing possible toxic effects of either chemical.
 
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Molluscum Fibrosum
The second condition, molluscum fibrosum, is more commonly known by one or other of its two pseudonyms, neurofibromatosis and Von Recklinghausen's disease. There are three types of lesions present. The first consists of numerous tumours which lie in the deeper parts of the skin. Most are definitely distributed along the nerve trunks. In their simplest form they appear as rounded and elastic swellings, most of which are firmly fixed just below the level of the epidermis. A characteristic feature presented by others is that they can be easily pressed into the subcutaneous fat and leave a small pit. Many become extruded however, as pendulous masses in loose, soft and wrinkled skin.
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