Selected essays and monographs : translations and reprints from various sources.

Date:
1897
Catalogue details

Licence: Public Domain Mark

Credit: Selected essays and monographs : translations and reprints from various sources. Source: Wellcome Collection.

    170/476 (page 154)
    continued. Early in September the following pills were ordered : E-. Masses pilularis Valett, 5 grms. (75 grs.), quininae hydro- chloratis, -5 grm. (7^ grs.); fiant L. pilulae; capiat ijter in die. A collutorium of tannin was prescribed for the constant salivation, replaced in the middle of September by one of mercuric chloride (1 pro mille.), which was only used for a few days. At the end of September the patient was much worse, fever and great weakness were present. Inhalations of infusum anthemidis c acido borico, a collutorium of potassii permanganas, and owing to obstinate constipation in spite of oleum ricini, senna, rheum, podophyllinum ('06 grm. Ctu Hr-] ) enemata were ordered. The amount of urine passed was veiy scanty, and although the patient was on fluid diet, the bladder was emptied only once or twice in 24 hours. In the middle of October, owing to the appearance of condyloma-like growths in the anal region, mercurial inunction was ordered, and decoctum sarsas et guaicai given. Now, for the first time, pemphigus appeared on the skin, which with the exception of some acne efflorescences in the scapular region had hitherto been quite free from any eruption. On November 24th, 1885, I first saw the patient in consulta- tion. He was emaciated, decrepid, and displayed nigh universal jpem'pliicjus foliaceus et vegetans. Almost the whole integument was covered with'loose, moist, epidermal flakes and crusts—plainty the remains of bullae. It was specially well developed in the vicinity of the orifices of the body, the eyelids, nares, mouth, and meatus urinarius. On both lips, which were everted, there were groups of moist vegetations decked with fissure scabs; those of the lower lip almost touched the chin. Similar groups were seen in the axillaB, inguino-scrotal regions, and particularly around the anus. The conjunctivas were the seat of phlyctenulae. The mucosa of lips, mouth, and fauces was more or less decorticated and showed a tendency to bleed. Salivation was profuse and the fcetor excessive. Mercurial inunction and the decoctions were stopped, a collutorium of liquor aluminis acetatis, and dressings of liquor plumbi acetatis and unguentum acidi borici for the vegetations, were prescribed. On December 1st, as salivation had decreased, the patient began to take 6 to 12 drops of liquor arsenicalis daily. His medical attendant reported that the latter medicine was well