(2) A case of _dermatitis artefacta_ in a young lady, a private patient,
who gave the following history. She was bitten by an old collie dog
twenty-three days ago on the calf, through her dress. She was not seen
by a doctor until a week or more later, and when seen by him she had a
circular “patch upon the calf of vesicating erythema, surrounding the
bite, with a vivid erythematous non-vesicating ring, about half an inch
broad, surrounding the central patch, and separated from it by an
intervening band of healthy skin, about a quarter of an inch broad.”
Four days later an exactly similar condition was noted on the lower part
and inner aspect of the same leg, “a patch of vesicating erythema the
size of a florin, surrounded immediately by healthy skin and then a ring
of vivid erythema half an inch wide.” The patient did not appear to be
in any way neurotic. There was no apparent animus against the owners of
the dog, who were old and intimate friends, and no breach of relations
between them had taken place. She led a healthy active life and was, in
fact, in robust health at the time. The ointment used in the first
instance was obtained from a chemist; her doctor had prescribed carbolic
ointment. The method of production was not ascertained and no adequate
motive could be assigned.
(3) A case which was shown as _syringomyelia_ with trophic ulcers on the
upper arm and shoulder in a woman who had been under Mr. Ernest Lane’s
care for about twelve years, and had had numerous operations performed
for a continually ascending necrosis of bone accompanied by trophic
ulcers on the skin.
Some divergences of opinion were expressed as to the diagnosis, and
this being at any rate a rare and interesting case, a more detailed
report will be subsequently submitted for publication in this
journal.
* * * * *
Public-domain text, read in full here on John Shaqi.
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