_séance_ has been necessary. In this case certain hairs will have
received a dose beyond the maximum for safety, and these will be
permanently destroyed. For safe working, it is necessary to have a
measure of the rays coming from the tube at any given time; and the
measure must be constant for every variety of tube. This is obtained by
certain colour changes taking place in specially prepared substances,
these changes being proportional to the amount of X-rays derived from
the tube. The pastilles of Holzknecht have been used for this purpose,
but they are a secret preparation, expensive, and not everywhere
procurable. Sabouraud has devised small discs made of paper which is the
same as that used for screens and is coated with a preparation of
platino-cyanide of barium. These discs change in colour in a fixed
manner, comparable from time to time with test-colours, and their use
makes it impossible, with care, to overstep the limits of safety.
E. G. L.
SYPHILIS AND CANCER. ETCHEVERRY. (_Ann. de Derm. et de Syph._,
August-September, 1904, p. 797.)
This research was undertaken in Audry’s Clinique at Toulouse, and the
consideration of the connection between these two diseases was directed
to the occurrence of lesions on the tongue and buccal mucous membrane.
These facts are grouped in three classes, according as: (1) cancer
supervened, in syphilitic patients, upon a preceding leucoplakia; (2)
without leucoplakia, but in the presence of other local syphilitic
lesions, such as gummata, scars of gummata, or of hard chancres; and (3)
in the absence of all local signs of syphilis. Thirteen cases of
epithelioma developing upon syphilitic leucoplakia are detailed under
the first heading. This sequel is relatively frequent. In the second
group twenty-two cases are noted. In the third group no direct
transformation of syphilitic into epitheliomatous lesions could be
established, but the fact of previous syphilis was ascertained in all
the fifteen cases quoted. Etcheverry, struck with the singular frequency
of association of the two diseases, speculates whether there may not be
some direct predisposition in syphilitic patients, as such, to develop
cancer. In epithelioma of relatively young patients he states that
syphilis may almost always be found as a previous accident. The greater
frequency of cancer of the mouth in men than in women coincides with the
greater frequency of syphilis in men; according to Fournier, syphilis is
eight times more common in males. Etcheverry hazards the suggestion that
the cachexia produced by syphilis may be a directly provocative cause of
ensuing cancer. As regards the treatment of these mixed cases of
syphilis and cancer, the administration of mercury, preferably by
injections of calomel, influences favourably the syphilitic element of
the disease, and occasionally, as a temporary effort, the
epitheliomatous development is checked by this drug. On the other hand,
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