More on Last piece of skin

[Guest guest]

Thanks to everyone who has responded on this and my other queries so far.

In off-list correspondence with Marla, I came up with the following:

The problem in question isn't Auspitz's sign, however; that appears in the

very next paragraph as a separate issue. There is a three-point list of

disorders caused by scratching - first, the " candle phenomenon " , where mild

scratching creates flakes that look like candle wax; second, the " last

piece of skin " ; and third, the Auspitz phenomenon, where the base of the

skin is broken through, leading to punctiform bleeding.

I think my original contextual quote wasn't broad enough. Looking at the

above paragraph, it is clear that the second of the complaints describes

the last piece of skin as _still being intact_ (all other layers having

been removed); when that piece is perforated, the result is the third

stage, i.e. the Auspitz phenomenon.

Purdy

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