The present eruption began from three to four years ago, and for the
last twelve months he had been treated by Dr. Payne with the biniodide
of mercury mixture, 1/16 grain three times a day, and also with
mercurial inunctions, but without making any material effect upon the
present lesions. When I saw him the trunk was only slightly affected.
There were a few pale yellow patches below the nipples, elongated and
nearly horizontal. On the back, there were one or two commencing
yellowish spots in the interscapular region, but in the lumbar and
sacral regions they were fairly numerous, and also yellowish and
elongated horizontally. On the thighs, the patches were very abundant in
vertical elongated streaks about half an inch wide, as if the finger had
been wiped down the limb in two- or three-inch pale yellow streaks. On
the legs, the patches were larger, irregular in outline from
coalescence, and of a yellowish-pink colour. The eruption was very
symmetrical, many of them, especially on the thighs, were slightly but
distinctly thickened when pinched up. On the anus and forearms there
were a good many patches, but not so many as on the thighs, where,
arranged in the line of the limb, they were of a paler yellow colour.
The patient said that they itched very decidedly almost always at night
and very often in the day. Sometimes they were sore. They did not itch
when they first came out. The eruption began on the thighs, and although
fresh ones were coming out from time to time, none, so far as he knew,
had faded or gone away.
He was ordered to rub in vasogen iodine and take salicin 15 grains three
times a day. I heard about two months later by letter that there was no
material change, but he had not used the iodine local application.
* * * * *
Public-domain text, read in full here on John Shaqi.
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