Dr. J. J. PRINGLE Showed a case of _Lupus erythematosus associated with
Raynaud’s disease_ in a highly neurotic woman, aged 44 years. The
symptoms of Raynaud’s disease apparently first manifested themselves in
1895, but were first recognised as such in 1896. Associated with the
typical phenomena of recurrent local syncope and asphyxia of the
extremities, more especially of the hands, there were attacks of severe
griping abdominal pain. The exact nature of these attacks had never been
accurately determined, but there were evidences of some chronic
intestinal obstruction, which could not, however, be located. The
exhibitor had witnessed several occurrences of typical Raynaud symptoms
in the hands, and the nutrition of all the fingers was impaired, their
tips being stumpy and atrophied, but no gangrene had ensued. The first
manifestations of Lupus erythematosus showed themselves in 1900, in the
temporal regions and scalp. They were regarded as “gouty psoriasis,” and
were treated by a physician professing the cult of homœopathy by
repeated painting with pure oil of cade (!), under which they progressed
rapidly, but in the wrong direction. She was also advised to winter in a
high, cold, and dry locality, but she suffered terribly from this
experience, which was carried out last winter in Switzerland.
The Lupus erythematosus was of severe inflammatory type and occupied a
great portion of the scalp, denuding it of hair, and giving rise to a
large atrophic scar which was the seat of peculiarly obstinate recurrent
attacks of suppuration, probably referable to a dirty toupet, worn for
cosmetic purposes. Symmetrical patches were also present behind the
ears, inside the pinnæ, and in the zygomatic regions, while there were
present over the whole face a large number of telangiectatic spots
averaging nearly the size of a pea. The nasal and buccal mucous
membranes were healthy. The urine contained neither albumen nor
blood-pigment, nor was there any history pointing towards
hæmoglobinuria. The exhibitor asked the experience of members as to the
value of treatment of such a condition by Finsen’s method, X-rays, and
especially by high-frequency currents, which he was inclined to try as
of possible value in both the associated conditions present.
Dr. Pringle’s suggestion, that treatment by high-frequency currents
afforded the best prospect of benefiting the patient, especially
with regard to the Raynaud phenomena, was generally accepted.
Dr. DORE was of opinion that the disease would thereby be
considerably ameliorated and possibly even arrested, but the
attitude of the majority of members present was somewhat sceptical.
* * * * *
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account