on the left thigh, but a dozen or more on the left. The trunk still
remained free. The initial patch was on the right wrist seven and a half
years previously, but had disappeared. Some few fresh ones still
developed occasionally. He was told to continue the salicin and rub on
10 per cent. vasogen iodine.
* * * * *
CASE 3.—Mr. H——, aged 56 years, butcher, came to me with skin lesions of
which he had only been aware three weeks, but they may have been there
longer as he had to get up so early to attend the markets that he rarely
saw his own skin. He was a stout healthy-looking man, but he had
syphilis in 1879 and had then suffered from iritis; he was under
treatment for two years. He suffered from constipation and had done so
since he had enteric fever as a young man. Urine had no albumen nor
sugar. He came of a long-lived family, his father having died at 86 and
his mother at 74. He had seven brothers and sisters alive out of
thirteen. The lesions were few in number and situated symmetrically over
the lower ribs on each side, the patches sloping obliquely downwards
from the back to the front. One on each side was 6 or 7 inches long and
compound. There was a single one much smaller (2-3 inches) symmetrically
situated in a line with the large patch, and there were three or four
others above the major patch on the back. There was one distinct patch
over the left scapula and about half a dozen fainter ones about the
back; a few faint ones were present on the back of each arm and forearm.
The lower limbs were free. The patches were erythematous in aspect, the
larger ones brightish red, the others paler. The surface was very
faintly roughened to the touch, and there was very distinct thickening
when the skin was pinched up, but they were not raised above the
surface. The borders of some of the patches were well defined, while
others shaded off gradually.
He was given salicin internally and, to rub in, 10 per cent. vasogen
iodine.
On February 11th there was decidedly less thickening on the left side
but no noticeable difference on the right. He complained of indigestion,
so the salicin was stopped and bicarbonate of soda given him, with
tincture of nux vomica. On March 17th the thickening was much less and
the patch on the left forearm was gone. On May 8th it had all cleared up
and only left slight staining. As he has not come again he has probably
remained well. The resolution of the patches was in this case probably,
to be chiefly attributed to the vasogen iodine.
* * * * *
Public-domain text, read in full here on John Shaqi.
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