{'fraction_non_alphanumeric': 0.019975031210986267, 'fraction_numerical': 0.0008322929671244278, 'mean_word_length': 4.723809523809524, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
Case for Diagnosis.

THE patient was a woman, aged 50, who, though of a somewhat delicate appearance, had enjoyed good health, and lived most of her life in the country. When a child she had tuberculous glands of the neck, the scars of which were still evident, but she had no other physical signs of tuberculosis. There was a definite tuberculous family history, however, a sister of the patient having died of phthisis. The condition for which the patient was exhibited was a peculiar affection of the face characterized by the presence of subcutaneous thickenings, which were flat, well-defined, and felt like pieces of india-rubber, with rounded edges situated in the hypoderm. The lesions varied in size from a sixpence to a florin, and were round or oval in shape. The skin over themn was unaltered at first, but as the swelling increased it became somewhat raised, and assumed a pinkish or purplish tinge, with small telangiectases ramifying over it. The lesions werenot definitely painful or tender on pressure. They tended to disappear spontaneously in a few months, leaving a depression from a distinct loss of subcutaneous tissue, but no scar, the skin over the depression being unaltered in texture, and the lanugo hair persisting. The first of those lesions appeared on the left side of the forehead seven years ago. It was soon followed by another on the left cheek below the malar bone. These underwent spontaneous involution. Since then other lesions of a similar type have appeared on the right side of the face, and the patient has never been quite free from them; at the time of exhibition one about the size of a florin being present below the right malar prominence. The exhibitor has had the case under observation for the last three years, and has found that their disappearance is accelerated by Finsen light treatment. The nature of the case is uncertain. At first it was thought that it might be an anomalous case of lupus erythematosus, as when first seen the most prominent feature was the erythematous and telangiectatic condition of the skin, and the affection corresponded in every detail to what Besnier had described as a peculiar form of lupus erythematosus associated with deep swellings. Further observation of the case, however, led to. the conclusion that the lesion was essentially hypodermal, and that the changes in the skin were secondarily produced probably to