The 'Oriental sore,' as observed in India : a report / by T.R. Lewis and D.D. Cunningham.

  • Lewis, T. R. (Timothy Richards), 1841-1886.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: The 'Oriental sore,' as observed in India : a report / by T.R. Lewis and D.D. Cunningham. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    [ ^2 ] worthy of note could be found tliat could not be referred to contact with extraneous substances. Of the latter, however, endless objects might have been described, as may readily be inferred, considering the liability of such a surface to dirt. • Miliary particles, such as we have just described, are common to numerous cutaneous affections ; and with regard to the lymphoid corpuscles, it may be, we think, safely said that they are indistinguishable optically from similar bodies encountered in numerous other allied morbid conditions. The evidence afforded by the effect of the addition of re- agents, also, is purely negative for diagnostic purposes, except in so far as to be amply suflBcient to show that they have no cell wall composed of cellulose or any material of a similar nature. 2.—Examination of extirpated sores. As already observed, the sore is in most cases readily Microscopic appearance of HlOVable aboVC the ^ SubcutaueOUS section. tlssuc, and when extirpated, espe- cially after the previous application of a poultice for some hours, a considerable quantity of serous effusion may be found to have accumulated around the base. A represent- ation of the appearance of the surface exposed by a verti- cal section of a sore removed in this manner will l3e found in Plate I, Pig. 2. The specimen here delineated measured something less than an inch in diameter at the base, and about a third of an inch in depth. It may, however, be remarked that the vertical measurement was perceptibly increased after the application of a poultice. The principal features manifested by a close examination of the section of a recent tjut fully developed sore, with the naked eye and by means of a hand lens, are the following {vide Plate I, Pig. 2) : . Taking the tissues from abote downwards. We observe (supposing, as in the present instance, the sore not to have advanced to the condition of an extensive raw surface)— (1) erosion and tenuity of the cuticle along the upper- most surface of the sore, but a thickening of it on either side of this part, which thickening extends but a short distance beyond the area occupied by tlie diseased tissue; (2) deepening of the Malpighian layer, and enlargement