Report on the parangi disease of Ceylon / prepared by W.R. Kinsey ; ordered by His Excellency the Governor to be printed.

  • Kynsey, William Raymond.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: Report on the parangi disease of Ceylon / prepared by W.R. Kinsey ; ordered by His Excellency the Governor to be printed. Source: Wellcome Collection.

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

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    PARANGI of ulcers of long standing ; they are from six by two inches to a-half by a-quarter in size.. DISEASE. Eo>es raised. Surface covered with minute ruddy granulations. Secretion watery. Sun-ouudino- parts indurated. Patient complains of severe pain along bones, especially at HlciS9 °P mghts- Skin dr^ No enlargement of any glands in the groins. 7th Case. -Illustration No. 5 c & d. Dambulla. Reported by Mr. S. B. Perera. Name, Appurala ; age 35 ; sex, male ; description, Sinhalese ; occupation, cultivator birthplace, Bintambura ; date of attack, 30 years ago. Duration of disease, 30 years ; phy- | sical condition weak and cachectic ; first attack ; form of disease, ulceration and purulent discharge-from the nose. « Pinas Roge -8eoed ©6Js cd. Members of the family affected: a brother of his suffered from Parangi. Almost all I the inhabitants of the village suffered at one time or another ; had an ulcer previous to appearance of eruptions; vaccinated; food, kurakkan and rice; had native treatment ; was treated with mercury. Patient states that when he was a child about five years of age, suffered from eruptions I of Parangi preceded by an ulcer on the under-side of the lower third of the left leg. About' ten years°ago he began to suffer from severe pain along bones, and this continued for about six months, when a sanious discharge began from his left nostril ( Pinas Roge 8*Dd <5d>5(5Gi) accompanied by very severe pain. About a year after several nodes (Etapolai Roge cfi0(9O3(3 ©<5J©o5) appeared on his body : one on the forehead, two on the left tibia,, oue'on the right tibia, and one on each ulna. These gradually became larger and larger, and softer and softer, till they burst and formed into ulcers. From these the patient suffered for a good long time, and had every sort of available native treatment without the1 least beneficial result. At present, the patient has an ulcer on the outer side of the right elbow-joint about' 3 by 2 inches in size, half an inch deep in one place where it seems to have communicated I with the joint. The ulcer is irregular in shape, edges ragged, surface covered with large- flabby granulations, secretion purulent and fetid, surrounding parts indurated; lower i extremity of the humerus and the upper extremities of the ulna and radius very much enlarged, giving an unsightly appearance to the elbow joint; left side of the nose ulcerated, and a hole has formed between the bony and the soft part, and there is a fetid purulent discharge continually through this ulcer; throat inside to its right pillar quite ulcerated; complains of severe pain in the nose, and when the patient takes any liquid, a portion of it comes out through the nostrils. Patient complains of severe pain along bones. No enlarged glands about the groins. 8th Case.—Illustration No. 5 e. Dambulla. Reported by Mr. S. B. Perera. Name, Tiri Hamy; age, 18; sex, male ; occupation, cultivator; description, Sinhalese; birthplace Padeniya; date of attack, about eight years ago ; duration of disease, eight years ; physical condition, weak and cachectic; form of disease, ulceration. Any other member of the family affected, yes, four in all. Vaccinated previous to appearance of eruptions, but did not take effect. Patient states that when he was ten years of age suffered from eruptions of Parangi (i'©cdG-o33S) preceded by an ulcer on his left. leg. These eruptions were cured after about ten months under native treatment. From this time patient began to suffer from ulcers on his legs and elbow joints. At present there are several cicatrices on his right elbow and some on the left wrist. In both the lower extremities from the knees down to the feet there are numbers of cicatrices. On the lower half of his right leg there are a number of small ulcers, and some on the inner side of the left ankle. One on the latter place is about an inch in length, ^ an inch in breadth, surface smooth and covered with bloody discharge, edges raised, surrounding parts hard, both the tibia enlarged ; skin of the patient dry and looks ugly; complains of severe pain along bones ; denies ever having had venereal; no enlarged gland about the groins. 9th Case.—Illustration No. 5 f. Dambulla. Reported by Mr. S. B. Perera. Name, Menika; age, (50 years; sex, male; occupation, washerman; description, Smhalese; birthplace, Moragaswewa; date of attack, 55 years ago. Duration of disease, 55 years ; formation of disease, ulceration and deformities. Members of the family affected ?--Every one, three in all. Almost all the inhabitants of the village suffered from this disease at one time or another. A cachectic old patient of bilious temperament, admitted into hospital on the 25th day of May, 1879, suffering from Parangi. [84]