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
is it to be supposed that the changes above mentioned are gone through
in regular succession on all parts of the surface, uniformly. It was no
uncommon thing to see the eruption papular on the legs, vesicular on the
trunk and arms, and pustular on the face, at the same epoch. One part
even, as the arm for instance, has exhibited to us the three forms at
the same time.
Maturation complete and desiccation going on, the pustules break, and
have their thin coverings converted into a yellow hard coat or crust, to
which adheres the pus that was not removed by absorption, and the
residue, by evaporation of its watery part, is now converted into a scab
of varying thickness, firm and prominent in its centre, and made up
outwardly of concentric circles. The margins of the pustules, before of
a distinct red, now assume a bluish-red or purplish colour, and the skin
begins to desquamate.
The constitutional sympathies, or the symptoms in the milder and regular
variety of the disease, are not of any great violence or intensity. The
premonitory pains, diminishing or disappearing, after the coming out of
the eruption, leave in their place a regular fever. The action of the
heart and capillaries is hurried during the papular and vesicular
stages; but becomes more equable while maturation is going on. During
the former period, the loaded and not unfrequently furred tongue
evidences disordered stomach, the cravings of which are for cold drinks.
The somewhat laborious respiration may, in some cases, depend on the
swelling and soreness of the fauces and pharynx; in others, on the
eruption extending along the lining membrane of the larynx; whilst in
others, it may be caused by bronchial engorgement.
Public-domain text, read in full here on John Shaqi.
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