Dr. H. RADCLIFFE-CROCKER showed a case of _tuberculous gummata_ (or
gummatous tuberculides). The patient was a well-grown and
well-nourished, healthy-looking girl, aged 18 years, who first came
under observation on February 17th, when the following notes were made:
The disease began at the age of 7 years, when a crop of lesions made
their appearance. One of these occurred on the abdomen, near the right
ilium, where a large scar, about 3 inches (over 7 centimetres) in
diameter, was present. This condition lasted for a few months. Then very
few lesions appeared up to the age of 15, when they became more numerous
and had gone on ever since without any interval of freedom. For three
years the patient had been subject to flat circumscribed infiltrations
of the skin varying from a shilling to a crown in size. These lesions
all broke down more or less into superficial ulcers, which healed in
from two to three weeks. On the legs and thighs up to the crest of the
ilium there were a large number of more or less circular scars varying
in size, but most of them about as large as half a crown (3
centimetres). On the thighs, however, some were over 2 inches in
diameter (about 5 centimetres). On the right thigh near the knee there
was a recent lesion (two weeks old), which was about 2-1/2 inches by 1
inch (6 centimetres by 2 centimetres), dull red, with great thickening;
it presented on its surface a pea-sized ulceration, which had formed
within twenty-four hours of the time when the patient was first seen. A
similar lesion, with a more advanced ulceration, on the right calf, had
been present three weeks. Below the left knee there was a flat
infiltration, slightly raised and well defined, about the size of a
shilling (about 2 centimetres). On the right temple there was a small
circular scar of 1/4 inch, which had resulted from a similar lesion to
those already described. The patient’s lungs were unaffected, but the
history was strongly tuberculous on the father’s side, a large number of
his relations having died of consumption, whilst some others were dying
of the same disease at the present moment. The patient had lost one
sister, aged 21 years, of phthisis, and a brother and another sister of
“consumption of the bowels.”
* * * * *
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