Identifier: britishjournalof26brit (find matches)
Title: The British journal of dermatology
Year: 1888 (1880s)
Authors: British Association of Dermatology
Subjects: Dermatology Syphilis
Publisher: London H.K. Lewis (etc.)
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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i the urine was acid,,sp. gr. 1024, and a decided amount of albumen. He had threesuperficial ulcerations in the left groin and an unhealed bubo. Thebases of the ulcerations, which were not punched out, were glazed,devoid of granulations, and discharged a thin sanious fluid; theedges were rounded and firm. Mr. Shillitoe did not consider them tobe specific, nor could he find other evidence of syphilis^ Maich 23rd: Wassermanns reaction positive; no albumen, so hewas put under mercury. March 31st: The sores not healing, Mr. Shillitoe gave him inaddition sanatogen internally and externally. April 12th: The sores were gradually closing and granulations wereappearing, which bled readily. He has increased one pound in weight,now 10 St. 121b.; there Avas a small trace of albumen and Herpespreputialis. April 21st and again on 24th : 059 grm. of salvarsan were givenintravenously. April 27th: The sores were spreading at the edges. The painting was done in June, after the excision of one ulcer had
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w H O CO ULCUS MOLLE SEKPIGIXOSTM. 8 loeeu attempted without success. Later X-rays and also rudinm weretried, with no better results. livery conceivable drug- was triedlocally, but the extension could not be stopped. The only drug whichseemed to do the least good was potassium iodide given internally.When tlie salt was pushed up to 200 grains jier diem and the soreswashed with perhydrol and then dusted with iodoform, the ulcers,after several weeks, completely healed. When the ulcers began to heal zinc ionisation was tried with a littlesuccess; iodine and copper ionisation Avere useless. I am quite sure that the cure was due to the potassium iodide giveninternally and the iodoform employed locally, and that it was verylittle, if at all, influenced by the ionisation. The Wassermanns reaction was positive, because the patient hadhad a very bad attack of malaria three weeks prior to the test being-made. Owiug to the fact that the ulcers did not heal the question oftubercle was raised, but

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