Clinical and pathological papers .. . e leg there were in allnineteen of these scars, irregularly placed, the lowest being on a H Typhoid Fever and Other Exanthemata, second edition, 1909, p. 177.56 Johns Hopkins Hosp. Bull, v, 19. Digitized by Microsoft® PHILLIPS: SKIN RASHES IN TYPHOID FEVER 9 level with the tip of the internal malleolus, the highest 14.5 cm.above this point. They lay transversely, and varied in length from1 cm. to 3 cm. The average width of the striae was 9 cm. Directlyover the centre of the patella, and extending transversely, was oneof these striae, 2.5 cm. in length, 0.2
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Clinical and pathological papers .. . e leg there were in allnineteen of these scars, irregularly placed, the lowest being on a H Typhoid Fever and Other Exanthemata, second edition, 1909, p. 177.56 Johns Hopkins Hosp. Bull, v, 19. Digitized by Microsoft® PHILLIPS: SKIN RASHES IN TYPHOID FEVER 9 level with the tip of the internal malleolus, the highest 14.5 cm.above this point. They lay transversely, and varied in length from1 cm. to 3 cm. The average width of the striae was 9 cm. Directlyover the centre of the patella, and extending transversely, was oneof these striae, 2.5 cm. in length, 0.25 cm. in width. In the medianline over the anterior surface of the lower part of the thigh, 7 cm.above the transverse scar over the centre of the patella, was a lineartransverse scar, 2 x 0.5 cm. in size. Three others of varying lengthwere situated below the one over the middle of the patella. Tn allthere were twenty-four of these lesions on the left extremity. Onthe right there were eighteen striae, situated in positions similar to. Fig. 2.—Showing the strite about the knees. those on the left, making a total of forty-two. The positions ofthese striae are seen in the accompanying pictures (Figs. 2 and 3).They were a delicate pink color, in marked contrast to the surround-ing skin, and were painless, causing the patient no inconveniencewhatever. There were no sensory disturbances in this case. Dur-ing the patients prolonged stay in bed he grew about four inches inheight, and it seems to me that the most reasonable explanation of thestriae is the stretching of the skin from the rapid growth, the vitalityof the tissues being much lowered. The occurrence of thei lesionsin the situations referred to was due to the fact that here, from thepartially flexed position of the knees and the extension at the ankles, Digitized by Microsoft®