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Dermatologist Tells of Some Signs By PODINE SCHOENBERGER Amazingly enough it's the skin which often gives the first hint of an internal cancer. In town to address the 27th annual meeting of the New Orleans Graduate Medical Assembly, Dr. Adolph Rostenberg Jr., of Chicago, told about it following his arrival here Sunday. Dr. Rostenberg said some people tend to think of dermatologists only in terms of the itch. What these people don't realize, he pointed out, is that the dermatologist can often prove of great help to the internist or the general practitioner in diagnozing certain ailments. EARLY STAGES Dr. Rostenberg, who heads the dermatology department at the University of Illinois College of Medicine, said a person's skin often reflects early stages of a disease. • "Take cancer for instance," he added, "The first manifestation of cancer of the ovaries, of the breast or of some other internal organ may appear on the skin," Dr. Rostenberg said in a condition known as acanthosis nigri-cans, the skin under the patient's breast or in her armpits appears blackish and velvety. Such a blackish velvety look, he explained, usually indicates an internal cancer. ELSEWHERE ON BODY Dr. Rostenberg said if the patient is a man, the blackish, velvety look may appear on other portions of the body. "Do we tell these people there's a possibility of cancer?" he was asked. The dermatologist repeated the question, "Well, since there is such a high correlation between these blackish, velvety skin manifestations and internal carcinomas (cancer), I think the physician would be justified in scaring the patient a bit. In that way the patient will probably get a medical examination in a hurry." The dermatologist said sometimes a generalized skin rash is associated with cancer. HAVE EXAMINATION "But since there are many generalized skin rashes which have nothing to do with cancer, it's probably a good idea notj to mention cancer to this pa-' tient. Instead try and persuade him to have a thorough examination." Dr. Rostenberg said you'd bet-! ter head for your nearest M.D. if you begin to develop little reddish, doughnut-shaped eruptions, with chalk white centers. "We call these 'cheerios,' because they look something like the cereal you see advertised," the Chicago physician added, "Actually this eruption is a sign of malignant atrophic papulosis, a very rare and usually fatal disease." WRINKLE FIGHTING Asked if he believed women can keep themselves looking young by using hormone cream, the dermatologist said "well, maybe a little bit." "A good hormone cream will mask very trivial wrinkles," he explained. "But a hormone cream certainly isn't Ponce de Leon's answer to the Fountain of Youth. It won't do anything for the deep wrinkles. And the minute you stop using it even the little wrinkles will return. How does it mask the little wrinkles? Well actually it produces an edema or swelling of the skin. No I don't think it's harmful. Unless a woman uses a whole bath-tub full of it." Another early arrival among the speakers recalled how, as far back as 1918, he began ranting against the evils of tobacco. Dr. George R. Herrmann, noted Galveston cardiologist, Isaid even then he was convinced that cigarette smoking was injurious to a person's blood vessels. He admitted that at the time his voice raised in warning was like a voice crying in the wilderness. "Al Ochsner (Dr. Alton Ochsner Sr.) was one of m\ pupils at Washington Medical School in St. Louis," he recalled, "Of course Al didn't start his ranting against tobacco until nuch much later." CONSTRICTS VESSELS The cardiologist said smoking definitely constricts the small blood vessels. "And Buerger's disease is aggravated by smoking," he added, "First comes the damage to the little arteries and veins. Next comes the gan-i grene. And after gangrene comes the amputation." Dr. Herrmann said he warned one of his patients against smoking, but that the patient paid no heed. "So he lost all his fingers and all his toes," the cardiologist recalled. Next he lost both feet and both hands. But do you know what? With both hands I gone that man was still smoking .cigarettes with the aid of a .mechanical hand. Erentually he !!died. I think he would have been alive today if he'd kept laway from the cigarettes." TEMPERATURE NOTED Dr. Herrmann told how he had compared the temperature of a certain patient's fingers both before and after smoking. 'After this patient had smoked a bit his skin temperature dropped three degrees," the cardiologist explained. Dr. Herrmann also said he is I convinced that consumption of foods high in fat content cause atherosclerosis, a hardening of q the arteries caused by formation of fatty deposits on the inside of the arteries. "There are those who dispute this," he added, "but as far as II I'm concerned we are digging our graves with our teeth. Our people are the biggest eaters of fat in the world. And look at our high record of coronary PHOTO: ON HAND Sunday to help welcome some of of the early arrivals for the 23rd annual meeting of the New Orleans Graduate Medical Assembly is Dr. Robert R. Burch of New Orleans (center), chairman of the internal medicine committee, for the convention. Receiving the welcome are Dr. Adolph Rosten-berg Jr., Chicago dermatologist (left), and Dr. George R. Herrmann, veteran Galveston cardiologist.
|Title||Cancer hinted often by skin|
|Contact Information||John P Isché Library - LSU Health Sciences Center New Orleans - 433 Bolivar St. New Orleans, LA 70112 ~ Send Inquiries to firstname.lastname@example.org|
Hartwell, Ralph, Dr.
Hull, Edgar, Dr.
New Orleans Graduate Medical Assembly
Congresses as Topic
|Call Number||1964 p33-34|
|Identifier||See 'reference url' on the navigational bars.|
|Source||John P Isché Library - LSU Health Sciences Center New Orleans ~ http://www.lsuhsc.edu/no/library|
|Coverage-Spatial||New Orleans (La.)|
|Rights||Use is restricted to IP address of LSUHSC - New Orleans|
|Object File Name||index.cpd|