Licence: Public Domain Mark
Credit: Report of the disease yaws / by Eugene L. Pollonais. Source: Wellcome Collection.
Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.
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![distinctly visible. The patient ate well and was perfectly healthy. She had her first bath on April 13th, I kept her in hospital until May 16th and during that time there was never any sign of a relapse. I have had occasion to see the child on the estate several times already, the last time on December 24th 1897, together with her brother, Edan, and there was no sign of Yaws about her. CASE IV. A. H.—Black native. 20 years of age. Mabouya valley. Admitted to Hospital April 14th 1896. Complaint.—Pains about the joints. Want of appetite. Sleeplessness. Patient covered over with dartres. Dermatitis of palms of the hands very well marked. History.- -Patient had always been healthy, until four weeks ago when he felt pain in the joints and noticed these spots about his body. Treatment.—From April 14th to April 18th, \ of sheep's Thyroid was given twice daily. On the 18th, he felt quite better of the pains in the joints and slept soundly at night. His appetite had improved. At a first glance the skin seemed much the same, but a closer examination with a lens revealed that the greater part of the loose epidermis had disappeared and the spots were smoother. Nowhere about the body have they gone on to form papulae. From April 20th to April 25th I increased the dose of the Thyroid fiom ^ to ^ of the gland twice daily. I saw him on the 25th. His appetite was very good, he slept very well and no longer complained of pains in the joints. With a lens I could detect no loose epidermis about the spots and the natural colour of the skin seemed to be returning, especially on the un-exposed parts of the body. The Dermatitis of the palms had greatly improved. No Thyroid on 26th and 27th April. From 28th April to May 2nd \ sheep's Thyroid was given twice daily. On May 3rd I saw the patient and found his condition still better, I could hardly make the difference between afEected and un- affected skin. Here and there, especially on the legs and dorsum of hands, the spots could be detected. The dermatitis wa.s limited to the edges of the palms at the inner sides of the hands. From May 5th I reduced the dose of the Thyroid to J of a gland twice daily, as Caee v. had been admitted to the Hospital and my supply of Thyroid was veiy small. This dose was given daily till May 23rd and on this day the patient was feeling very well, he had a good appettie and slept soundly. No spots could be detected about his body and the dermatitis had almost disappeared. From 26th May to June 6th \ sheep's Thyroid was given twice daily. The patient was still more improved and what remained of the der- matitis was hardly perceptible. His skin was quite nice. The ThjToid was continued until June 19th and unfortunately from that date to July 7th I could not get any Thyroid. During this interval, I noticed a few light coloured spots about the patient's forehead and on close examination a furfuraceous desquamation could be detected. A relapse therefore had taken place. The patient did not feel quite so well. On July 7th I again began the administration of the Thyroid twice daily. On July 19th I examined the patient and found that the spots on the forehead were veiy faint. He felt no pains and had a good appetite once more. The dermatitis of the palms had entirely disappeared. From July 21st to July 31st | .sheep's Thyroid was given twice daily. On August 1st I saw the patient and found him perfectly cured. No spots whatever could be detected about his body. His hands were quite natural. I kept this patient in Hospital until September 28th 1896, giving him the Thyroid every other day. Diu'ing the remainder of his stay at the Hospital he never presented any sign of Yaws. I saw him on January 10th 1898 and he is quite well. He has been working steadily and never had any trouble with his joints again. CASE V. A. D.—Black Creole. 16 years of age. Desruisseaux, Micoud. Admitted May 4th 1896. ('oiiiplaiitf.—Granuloma on the upper lip just below the septum of the nose. Granulomata tubboes in the soles of the feet. History.—Patient had always been healthy. He belongs to a respectable and well-to-do family. Alwaj-^s had good food and leading an open aii- life. Treatment.—From ]\fay 5th to IMay 12th he was given ] sheep's Thyroid twice daily, I saw him on 12th May and found that the granuloma on the lip had shrivelled and the crust was nearly oft. The tubboes had no moisture about them and were smaller. He could not as yet walk about. From 12th to 19th May he continued with the Thyroid. On the last named date T saw the patient and found that the cmst of the granuloma on the upjK?r lip had dropped and the macula marked the spot of the granuloma. The tubboes in the soles of the feet were smallei' yet and the patient could move about more easily. The crusts had not yet fallen. From ^lay 20th to June 1st the Thyroid was continued regularly. On June 1st I saw the patient and found that all the crusts af the tubboes had](https://iiif.wellcomecollection.org/image/b24398822_0014.jp2/full/800%2C/0/default.jpg)
