Quotation from: Manual of SurgeryWritten by: Alexander Miles and Alexis Thomson |
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_Burns of Third Degree--Partial Destruction of the Skin._--The epidermis and papillae are destroyed in patches, leaving hard, dry, and insensitive sloughs of a yellow or black colour. The pain in these burns is intense, but passes off during the first or second day, to return again, however, when, about the end of a week, the sloughs separate and expose the nerve filaments of the underlying skin. Granulations spring up to fill the gap, and are rapidly covered by epithelium, derived partly from the margins and partly from the remains of skin glands which have not been completely destroyed. These latter appear on the surface of the granulations as small bluish islets which gradually increase in size, become of a greyish-white colour, and ultimately blend with one another and with the edges. The resulting cicatrix may be slightly depressed, but otherwise exhibits little tendency to contract and cause deformity.
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