The malformations, diseases and injuries of the fingers and toes and their surgical treatment / by Thomas Annandale.

Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: The malformations, diseases and injuries of the fingers and toes and their surgical treatment / by Thomas Annandale. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    abrasion or scratch of tlie skin, with exposure to similar irritating matters. In some persons the mere contact of the irritating discharges from cer- tain wounds is quite sufficient to cause this, or even a worse form of inflammation. Several fingers may be affected with this inflammation at the same time, or they may be attacked with it in succession. Mr. TodcP has described, under the term paronychia gangrenosa, an afiection of the fingers resembling this form of whitlow, but followed Ijy more serious results, and commencmg mthout any apparent cause. When the areolar tissue is attacked, the symptoms are more severe, and there is more swelling of the finger than when the skin only is implicated. The swelling is situated not only on the flexor sm'face, which I may here state is the aspect of the fingers usually attacked with whitlow in all its forms, but also on its dorsal and lateral aspects. There is often a good deal of pain and throbbing in the finger, the pain not always being confined to the finger, but passing up the forearm and arm, and in some cases causing swelling and irritation in the glands of the axilla. AVhen suppuration has taken place in these cases, we fi-equently find that although the lateral and dorsal aspects of the finger are of a bright red 1 Duhl'in Hospital ]ie]wrL% vol. ii.