Vicious circles in disease / by Jamieson B. Hurry.

  • Jamieson Boyd Hurry
Date:
1913
Catalogue details

Licence: Public Domain Mark

Credit: Vicious circles in disease / by Jamieson B. Hurry. Source: Wellcome Collection.

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    / Somewhat similar correlations may complicate other forms of chronic ulceration, as, for instance, that met with in the vulva : “ As the inflammatory products from the ulcer reach the lymphatic glands a more or less complete blockage (Aus- schaltung) of the gland may result (the functional activity has probably been already affected by sclerosis). The associated lymph stasis will, in its turn, favour hyperplasia of the tissues, while it delays or even prevents the healing of the ulcerating surfaces. In this way a kind of Circulus Vitiosus may be established.” 1 Esthiomene is complicated in much the same way : “ The ulceration, with or without attacks of acute lymph¬ angitis, with or without lymphatic obstruction, by degrees induces a chronic state of hypertrophic lymphangitis, a true vulvar elephantiasis. This lymphangitis, in its turn, reacts on the ulceration, which it aggravates, perpetuates, and renders almost incurable.” 2 Intertrigo. Morbid correlations may also com¬ plicate eczema intertrigo, a disorder which sometimes arises when opposing surfaces of the skin remain long in contact and chafe each other : “ In these localities the disorder, beginning as an erythe¬ ma traumaticum, proceeds by its irritative effects to stimu¬ late the secretion of sweat, which is freely poured out between the adjacent folds of skin, and may there temporarily be imprisoned. The surface, heated and reddened, is also somewhat macerated by the effused perspiration, and the latter, when chemically altered, as it is frequently under these circumstances, adds still further to the original disorder.” 3 1 Koch, Archiv f. Dermatologie und Syphilis, Vol. XXXIV., p. 228. 2 Dubreuilh, Pratique Dermatologique, Vol. II., p. 613. 3 Hyde, Diseases of the Skin, p. 143,