The prognosis in the present case is not altogether unfavourable,
considering that the patient’s general health is good, that the disease
is probably seldom of itself fatal, and that in some cases improvement
or spontaneous care has, apparently, occurred after the disease has
lasted twenty years or more.
Footnote 2:
_Vide_ X. Delore, _Lyon Médicale_, July 16th, 1899, p. 376; J.
Sabrazès and A. Laubée, _Arch. Gén. de Méd._, Paris, November, 1899,
p. 515; R. von Baracz, _Wien. klin. Wochenschr._, 1901, No. 14; G.
Carrière and G. Potel, _Presse Médicale_, Paris, May 17th, 1902, p.
471; and L. Legroux, “La Botryomycose,” _Thèse de Paris_, 1904. The
botryomyces appears to have owed its supposed existence to a mistaken
interpretation of microscopic appearances. H. Bichat (_Arch. Gén. de
Méd._, February 2nd, 1904, p. 281) thinks there is nothing specific in
the growths, but V. Ball (_Arch. Gén. de Méd._, August 2nd, 1904, p.
1921) concludes that that botryomycosis, though it owes its name to an
error, is nevertheless a pathological entity and is a special
staphylococcal affection. Dr. Weber possesses a microscopic section of
one of these little growths, which was removed from the finger (close
to the nail) of a woman in 1890, when he was a house-surgeon at St.
Bartholomew’s Hospital for Sir William Savory. It was a typical
strawberry-like “botryomycoma” with quite a narrow pedicle. Dr. J. M.
H. MacLeod, who has kindly examined the section in question, tells us
he regards such growths as “septic granulomata,” septic organisms
producing very various effects according to their degree of virulence
and naturally according to the nature of the living soil on which they
grow.
Footnote 3:
_British Journal of Dermatology_, June, 1901, p. 201.
Footnote 4:
_Diseases of the Skin_, third edition, 1903, p. 963.
Footnote 5:
_British Medical Journal_, June 4th, 1890. Amongst foreign accounts
_vide_ Radaeli’s report of five cases in _Lo Sperimentale_, December,
1904, p. 1023.
Footnote 6:
_Archives of Surgery_, vol. v, p. 237, and vol. vi. p. 132. See also
Mr. Hutchinson’s _Smaller Atlas of Clinical Surgery_, Plate 61, where
he refers to the case figured by Hebra and Kaposi as “Sarcoma
melanodes”; also his remarks on “Sarcoma melanodes” in the _British
Medical Journal_, January 7th, 1905, and the case shown by him at the
Polyclinic in December, 1904, which was also shown by Dr. Ormerod at
the Dermatological Society of London, July 8th, 1903.
SOCIETY INTELLIGENCE.
THE DERMATOLOGICAL SOCIETY OF LONDON.
An Ordinary Meeting of the above Society was held on March 8th, 1905, at
5.15 p.m., Dr. J. H. STOWERS in the chair.
The following cases were demonstrated:
* * * * *
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