North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
Primary ulcer of a reddish-brown colour; borders closely on the
phagedenic character. The edges raised and well defined; not excavated,
but on a level with or above the surrounding skin. In the commencement,
a small itchy pustula; distinguished from the ulcer attending the
papular disease by its well defined and elevated edges, and by the
absence of the smooth fungous surface of the former; from the phagedenic
by its well defined margin and its corroded-like surface, and the
absence of acute pain; and from chancre by the absence of the callous
edges and base. These ulcers are of a chronic nature, showing little
disposition to spread. The ulcers from buboes partake of the same
character, the edges being hard and the ulcer disposed to burrow. These
edges Mr. C. removes with the knife. The disease is rendered extremely
obstinate, where full courses of mercury have been given. The more
closely the eruption approaches the papular, the more mild and
manageable will be the disease.
_Constitutional symptoms._--The eruption is pustular, and often exhibits
simultaneously new pustules; also scabbing ulcers, the crusts of which
fall off, and leave discoloured patches of skin after healing. For these
ulcers of the skin, the best remedies are, sulphur fumigations,
nitro-muriatic acid baths, and ointment of tar and sulphur.
_Remedies._--Rest; gentle astringents; mild ointments; antimonials and
sarsaparilla:--for the constitutional symptoms; venesection; cathartics;
antimonials; sarsaparilla.
Mercury is decidedly injurious, until the disease is on the wane, when
alterative doses may accelerate the cure.
Third, Phagedenic venereal disease.
The primary ulcer has a corroded appearance. It exhibits neither
granulations nor induration. It spreads sometimes rapidly, sometimes
slowly; healing in one part, while ulcerating in another. It is mostly
situated on the glans and prepuce, and often attended with hemorrhage.
In this disease, buboes most frequently appear.
The sloughing ulcer occurs also in this disease. Mercury is extremely
pernicious, always rendering the disease more inveterate and rapid in
its progress.
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