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.

    172/476 (page 156)
    15 G November 10th, I saw the patient again; meanwhile his medical attendant, convinced of their specific nature, had prescribed calomel internally and externally, followed by painting the vegetations with sodium chloride solution. The excrescences, in spite of the treatment, had greatly increased in size and in extent, involving the hypogastrium and the inner aspect of the thighs and the perineal region. The limits of this extensive area were fringed with bulke. Novembei loth,under chloroform, the growths were thoroughly sci aped away, and the thermocautery applied and iodoform dress- ings used, ^November 24th, several small vegetations appeared on the left thigh near the margins of the primary seat, and spread to the gluteal region. These were removed 3 days later, with Yolkmann’s spoon, after previous cocaine injection. Novem- ber doth, fresh itching blebs near the anus and some on the tongue were noticed ; tincture of iodine was applied to them as well as to any suspicious-looking granulations in the cauterized area, and a collutoriura of chlorate of potash was ordered. At the end of January, 1891, the wounds were healed and left discoloured patches behind. .Ever since November 10th up to the middle of January the patient had been taking—intermittently, owing to anorexia and diarrhoea—Fowler’s solution. On March 17tli, I saw him again, and since then up to February 15th, 1893. Quite recently I heard that he had settled in the Transvaal and was cpiite well. [Note.—This patient, after two years of fair health, has a return of malady, and after a year’s illness with characteristic symptoms died. He was under the care of Mr. Hutchinson in London, and was seen by many dermatigists. The conclusion of the case will be published in detail.] This case of pemphigus vegetans* is the second on record of complete recovery, and is remarkable for the limited area of distribution, viz., buccal cavity, genitals, genito-crural, and perineal regions. Case III. The patient, female, astat. 45, married, very stout, came under observation October, 1892. She complained of pain in the left side of the neck, especially on swallowing. In the previous * Vide the second case, two cases of pemphigus vegetans, by C. MUller