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athic atrophy of the skin, and give the treatment.# General idiopathic atrophy of the skin is extremely rare, and is characterized by a gradual, more or less general, degenerative and quantitative atrophy of the skin structures, accompanied usually with more or less discoloration and pigmentation. Treatment is palliative and based upon indications. #Describe parchment skin, and state the treatment.# Parchment skin (_xeroderma pigmentosum_, _angioma pigmentosum et atrophicum_) is a rare disease, the exact nature of which is not understood. It is characterized by the appearance of numerous disseminated, freckle-like pigment-spots, telangiectases, atrophied muscles, more or less shrinking and contraction of the integument, and followed, in most instances, by epitheliomatous tumors and ulceration, and finally death. It is usually slow in its course, beginning in childhood and lasting for years. It is not infrequently seen in several children of the same family. Treatment is palliative, consisting, if necessary, of the use of protective applications and of the administration of tonics and nutrients. #Describe atrophic lines and spots.# Atrophic lines and spots (_striae et maculae atrophicae_) may be idiopathic or symptomatic, the lesions consisting of scar-like or atrophic-looking, whitish lines and macules, most commonly seen on the trunk. They are smooth and glistening. Slight hyperaemia usually precedes their formation. As an idiopathic disease its course is insidious and slow, and its progress eventually stayed. The so-called _lineae albicantes_, resulting from the stretching of the skin produced by pregnancy or tumors, and from rapid development of fat, may be mentioned as illustrating the symptomatic variety. In course of time the atrophy becomes less conspicuous. #Describe senile atrophy.# Senile atrophy is not uncommon, the atrophy resulting, as the name inferentially implies, from advancing age. It is characterized by thinning and wasting, dryness, and a wrinkled condition, with more or less pigmentation and loss of hair. Circumscribed pigmentary deposits and seborrh[oe]a, with degeneration, are also noted. #What several diseases of the skin are commonly followed by atrophic changes?# Favus, lupus, syphilis, leprosy, scleroderma and morph[oe]a. #CLASS VI.--NEW GROWTHS.# #Keloid.# (_Synonyms:_ Keloid of Alibert; Cheloid.)
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