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H L Arnold

Publications and source records attributed to H L Arnold.

At least 19 recordsLinked to original sources

Paroxysmal pruritus. Its clinical characterization and a hypothesis of its pathogenesis.

In dermatologic literature generally, itching, that familiar sensation that evokes a desire to rub or scratch, has been attributed almost without exception to something occurring in the skin: e.g., an insect bite, ringworm, contact dermatitis, urticaria, lymphoma, provocation by bile salts in jaundice. Itching in such instances is almost invariably relieved quite promptly, even if only temporarily, by rubbing or scratching with only moderate vigor, not enough to damage the skin, or at most to damage it only superficially. No one scratches a mosquito bite, hives, ringworm, or even lichen planus to the point of bleeding and scarring. Winkelmann and Muller suggested in 1964, "In rare instances, the itching response does not reside in the skin...but may be analogous to phantom limb sensations." I believe that this is a common phenomenon that is characteristic of several familiar, common skin disorders, that can be readily identified from the patient's history, and that serves to explain some otherwise mysterious clinical features of those disorders; in particular, why they are regularly scratched to the point of oozing, bleeding, scarring, or lichenification.

Adult

Cecil Coggins.

Explore the source record for details and available documents.

Hawaii

Epidermodysplasia verruciformis (Lewandowsky-Lutz): the revived report of a case seen in 1944.

A Japanese girl, born of a consanguineous marriage, believed to have epidermodysplasia verruciformis, lost all of her wart-like lesions within a week after one was biopsied, and was then considered to have actually just had warts. It was only in retrospect, years afterward, that it was realized that the truly wart-like nature of the lesions did not exclude epidermodysplasia verruciformis at all. The case is therefore being belatedly reported, as a reminiscence. Note: This case report, originally written in 1944, was never published because, at that time, the case was considered to be of no more interest than any case of extensive flat warts. In the light of increased knowledge, it seems that it was indeed a case of epidermodysplasia verruciformis; and so it is presented here as a curiosity, and because the seemingly spontaneous recovery within a week following biopsy is a matter of particular interest.

Child