Excerpt from Skin and Venereal Diseases; Miscellaneous; Pathology, Bacteriology, Physiology
Cutaneous Horn. This condition occurring in a 35 year-old woman is reported by J. W. C. Macewen.1 At the age of 23, a pea-sized swelling appeared on the left side of her head. This swelling increased slowly in size until two years later, when she received an accidental knock on it, the skin being broken by the impact. Suppuration set in and continued for some time, and as it subsided she noticed some three or four little projections growing from the site. These projections grew slowly until some four years ago, when all but one were removed by operation. The remaining projection did not give her much trouble until six months ago, when it began to grow rapidly. Apart from the inconvenience caused by the presence of the horn, she had long been troubled by headaches of varying severity on the left side of the head. The horn had a distinctly horn-like structure, had a rough surface, and was 2} inches in length from base to tip, apart from the twisting. While firmly attached to its place of origin, it was yet freely movable, owing to the extreme mobility of the cutaneous base. The horn, together with a portion of the surrounding scalp, being excised under a local anesthetic. The part was very richly supplied with blood. The patient made an uninterrupted recovery, the wound healing aseptically, and she has since been free from headache.
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