A treatise on venereal diseases / by A. Vidal (de Cassis) ; translated, with annotations, by George C. Blackman.
- Auguste Vidal de Cassis
- Date:
- 1874
Licence: Public Domain Mark
Credit: A treatise on venereal diseases / by A. Vidal (de Cassis) ; translated, with annotations, by George C. Blackman. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![[The testimony in favor of tile iodide of potassium, as remarked by our author, is indeed universal, especially when the acute stage of periostitis has passed. It rarely fails, observes Mr. Stanley, to stop the progress of the disease, and, in much the largest pro- portion of cases, completely cures it. This statement of the reme- dial agency of iodide of potassium is to be taken in its most com- prehensive sense. Whether it be the inflammation of periosteum adjacent to an exfoliating bone, or investing an enlarged bone, or that which is the conssquence of scrofula, syphilis or rheumatism, there has not appeared to me to be any difference in respect to the influence of this remedy upon the disease. And, with respect to the suitable doses of it, I have but to repeat the statement already made, that my impression is in favor of administering it in doses of two or three grains, three times a day, in either decoction of sarsaparilla, or a bitter vegetable infusion, or camphor mixture (op. cit. p. 275). Our own experience would lead us to rely rather on larger doses of the remedy; we do not give less than five grains three times a day, and sometimes this quantity is in- creased to ten and even fifteen grains for a dose.—G. C. B.] III.—EXOSTOSIS. A tumor actually exists in periostitis and ostitis, but the term exostosis is applied especially to the termination of these inflam- mations in induration. Indeed, instead of disappearing by reso- lution, suppuration, or mortification, the tumor formed by ostitis becomes the seat of excessive nutrition, of abnormal ossification. But periostitis or ostitis is not always necessary to the formation of an exostosis; sometimes, indeed, we observe hypertrophy in- dependent of any previous inflammation; sometimes a plastic substance is deposited throughout the whole osseous substance, even in the medullary canal, a substance exactly resembling that mentioned when I was describing the syphilitic affections of the muscles. Varieties.—As in other forms of exostosis, the syphilitic may be divided into two principal varieties; the parenchymatous, and the exostosis epiphysaire. 1. Parenchymatous Exostosis.—This occurs, especially, in cases of profound ostitis. The abnormal ossification may assume the character of areola, or of compact tissue. In the first case, it may consist of layers, between which are areola, constituting what au- thors denominate cellular or laminated exostosis. In the second case, it is the compact tissue, and according to Albers of Bonn, the cortical substance which constitutes the exostosis. If the osseous layers suffer a divarication, an osseous matter without any distinct organization has been deposited between them, and the volume of the bone becomes increased, but its weight and density have also undergone a marked increase. We have now the eburnated exos- tosis^ suitable for making scalpel handles. 2. Exostosis Epiphysaire.—This results particularly from perios-](https://iiif.wellcomecollection.org/image/b21082340_0445.jp2/full/800%2C/0/default.jpg)
