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
_The teeth._--But few cases occurred during the second dentition; and it
is doubtful whether any one took place during the first. It should be
remarked, however, that children under 2 years, were not admitted to the
institution, unless by deception on the part of the parents. No child
ever lost a tooth of the second set; and, indeed, the second dentition
seemed often to cure the complaint. The greater number of cases occurred
between 2 and 5 years of age, but some as late as 8 or 10. In several
instances, the ulcer destroyed a portion of the enamel capsule; and the
teeth were then cut, with _very perfect enamel_ upon the lower part,
while the bone was entirely bare at the ulcerated portion of the
capsule. This singular fact proves that no inflammation of the capsule,
sufficient to interrupt the function of its remaining portion, took
place in consequence of the opening of its cavity.
_Prevalence of this disease in our own country._--Many elderly persons
remember during different periods of their lives, a tradition and
particular instances of a formidable disease of the mouth, by the name
of "Black Canker."[10] Round Philadelphia, it appears to have been
rare. Having been informed by a friend, that the disease had prevailed
extensively at Salem, New Jersey, under the notice of my friend, Dr.
THEOPHILUS R. BEESLEY, I addressed a letter to that gentleman, to which
he furnished me with an obliging and instructive reply, which I have
unfortunately mislaid. Numerous cases have occurred, in that vicinity,
within the last 30 years; and were, in general, successfully treated by
the women. Cases seldom came under the view of physicians, until
gangrene had commenced; and of these, many died: so that the old women
were generally more in vogue for its cure, than the regular
practitioners. Dr. BEESLEY, Dr. VANMETER, and my friend Dr. E. Q.
KEASBEY, had met with much of this complaint; and the result of many of
their observations had been combined in a thesis, written, but,
according to our unfortunate custom, not published, by the younger Dr.
VANMETER. It was there considered as a sequela of intermittent and slow
remittent fevers, and seldom occurred but in marshy districts, and among
the poor. It generally prevailed between the ages of 2 and 10 years. Of
the remedies employed we shall again speak. Dr. SAMUEL TUCKER has also
seen it in marshy situations near Burlington. I have heard of its
existence on the Schuylkill. Dr. PARRISH has for several years noticed a
stage of this complaint, under the name of "a disease resembling the
effects of mercury," in his private lectures. Drs. PHYSICK, HARTSHORNE,
HEWSON, MEIGS, WOOD, RHEA BARTON, and REMINGTON, and several others who
will pardon me for omitting their names, have also met with cases.
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