Lanterna Rally

Author: Henry W. Stelwagon

Publisher:

Published: 2015-07-10

Total Pages: 538

ISBN-13: 9781331084556

Excerpt from Journal of Cutaneous and Genito-Urinary Diseases, Vol. 10: January, 1892 Clinical Notes. Case I. Thur F., a Russian woman, aged 43, thickly set and strongly built, of good general health, and dark complexion, was admitted into the skin ward of the Philadelphia Hospital, December 20, 1890. Owing to the ignorance of the patient, with the fact that she could scarcely speak any English, the history obtainable was far from satisfactory. So far as could be learned from her husband who was closely questioned upon several occasions, the disease dated back four or five months. It began, so he stated, as an itching eruption of an erythematous type extending over the arms and face. At this time or soon afterward an erysipelatous patch appeared over the surface of the metacarpo-phalangeal joint of the thumb of the left hand, becoming gradually, in the course of several days or a few weeks, swollen and elevated, forming a tumor of two to three inches in diameter and one-fourth to one-half inch in altitude. This persisted and grew somewhat more prominent, and finally broke down at the superficial central part, discharging a bloody mucoid fluid. A few weeks later the ulcer had grown to two inches in diameter, with a sharply defined elevated border and a crateriform fungoid central portion. At this time and for a month or two subsequently, erythematous and erysipelatous outbreaks, involving one or several parts, occurred. The patient was finally led through the discomfort and disfigurement produced by the eruption to seek advice. At the time of admission into the hospital the conspicuous and only striking lesion was the fungoidal ulcerating tumor upon the hand. It was fully three to four inches across, rounded, the border considerably elevated, somewhat infiltrated and rather sharply defined against the surrounding healthy skin. It was painful to the touch, but the patient complained of but little spontaneous pain. The surface of the ulcer was mushroom-like, and attended with a variable sanguineous seropurulent discharge. In fact at this rime the growth presented, when taken alone, the appearance of an epitheliomatous tumor, and such it was upon first glance considered. Upon examination of other portions of the general surface, however, it was found that a mild erythematous and eczema-like eruption existed upon the chest anteriorly, and to a slight degree upon the eyelids also. These symptoms together with the history were indicative of mycosis fungoides. No special treatment was ordered for the first several days beyond an antispetic dressing to the ulcer. This began to extend slowly, the discharge now and then becoming offensive. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.