Modified land scurvy with pingaemia / by Kanny Loll Dey.

Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: Modified land scurvy with pingaemia / by Kanny Loll Dey. 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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    relish for any article of food, appetite poor, conjuctivze pale and rather yellowish, pulse small, soft and compressible, bowels confined, has pain on pressure over the right hypochondrium, cough troublesome. Expectoration scanty and consisting of frothy muoous. Percussion note of the chest clear ; no pain in any part of it. Mucous rales and sonorous rhonchus, audible all over, and more distinctly over the large bronchial tubes. This woman improved a little from generous food and administration of lime juice; but died accidentally on the night of the 1st November, 1867, by the fall of her house, knocked down by the cyclone. We had an opportunity of getting a post mortem examination of her body at the Police Dead House attached to the Calcutta Me- dical College, through the kindness of the Police authorities and the Police Surgeon, Dr. Woodford. The following is an account of the autopsy. The lungs were found slightly engorged, especi- ally at their posterior aspects and contained more than the usual quantity of pigmentary substance. Heart small, right side empty, left side contained a little dark fluid blood. Liver of nor- mal size and consistence, mottled in appearance and of a livid colour. A section of it and also a portion of the skin of the hands and feet were removed and submitted for examination to Dr. C. Macnamara, who reports as follows :— Specimens sent for examination. 1. A portion of the skin of the hands and feet; and 2, a piece of the liver. 1. The vessels of the papillae of the skin were in places closed by small masses of pigment, and the connective tissue around them was deeply pigmented, this character extended to the deeper layer of the epithelium, but not to the superficial layers. I have no doubt that the coloring matter above de- scribed was derived from the haematine of the blood, and this opinion was confirmed by the state of the liver.
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