North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826 — John Shaqi
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
In the premonitory symptoms, constituting the characters of the fever
precursory to the eruption, there was considerable uniformity: the
complaint of nearly all those attacked being at first chills and rigors;
pains in the loins, head and limbs, with thirst and want of appetite;
with which were soon associated gastric uneasiness, and in many,
soreness of throat, rendering deglutition painful, hoarseness and
weeping eyes. The duration of these symptoms, aggravated by febrile
exacerbations, varied from one to three days, more usually the latter,
after which the eruption begins to appear. It is first seen round the
forehead and temples, near the hairy scalp; then on the cheeks and
breast and back; on the arms near the shoulders; the abdomen and thighs;
and subsequently on the fore-arms and hands, and finally on the legs and
feet. The appearance of the eruption is that of red or scarlet papulae,
presenting to the touch a sensible resistance, but not much raised, and
without roughness or hardness. These papulae, becoming more and more
defined and elevated, are after a day or two converted into vesicles,
with small elevated centres or bodies of a yellowish-white, and more
diffused red and somewhat hard bases or margins. The redness extending
as the eruption becomes copious, converts the skin, especially of the
face, neck, and hands, into a red ground, from which project, in relief,
the whitish vesicles. Similar appearances, but of a less marked nature,
owing to the eruption being more scattered, are found on the trunk. The
vesicles, containing at first a thin, semi-transparent fluid, become
gradually larger, fuller and yellower, and filled with a thick,
tenacious matter. This change is completed, and the pustules are
entirely formed, after a lapse of time from the first eruptive effort,
which varies from the fifth to the ninth day, and is occasionally
longer. The mean for the beginning of maturation, or the finishing of
the secretion of matter in the pustule, may be received as five days for
the face, and eight or nine days for the body generally. The stages of
the eruption, as regards its appearance, may be very properly called
papular, vesicular, and pustular. This last having attained its height,
completes what is termed the period of maturation, during which the
pustules retain their fulness and spheroid figure; and exhibit the
greatest proportion of whitish-yellow shining surface of their body, and
diminished extent of redness at their base. A yellow dry point on the
summit of the pustule, which loses thereby somewhat of its former
spheroidal shape, by becoming flatter, or slightly indented, indicates
beginning desiccation, at which time the body exhales that peculiar
odour, so unpleasant, and so readily recognizable, after it has once
been perceived. There is no uniformity in the size of the pustules on
the body generally, nor any equality among them on a particular part:
more usually one larger and fuller is surrounded by others less so. Nor
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