Publisher's Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1915 edition. Excerpt: ... LUPUS ERYTHEMATOSUS DIFFUSUS UNFORTUNATELY TREATED WITH TUBERCULIN. By A. Ravogli, M.D., Cincinnati. MISS A. W., aged 24, came to us for consultation on Sept. 8, 1913, for a reddish purple eruption diffused on the face, neck, chest, scalp, arms, legs and feet. She was a welldeveloped woman, of healthy parents, and had enjoyed good health. She menstruated at the age of 15 and had never had any trouble until recently, when menstruation stopped. For over four months she was under the treatment of her house physician for chronic bronchitis, which, after a while, was found to be, in reality, pulmonary tuberculosis. The eruption was of an crythematous type, evenly distributed on the face, sparing only the chin. The affected skin showed a slight, thin desquamation. The eyebrows had been lost to a certain extent and the hairs were falling out. The eruption on the scalp consisted of small, round, hsemorrhagic papules, which covered also both auricles, and extended to the neck, and to the shoulders in the back, to the chest in front, forming a large, irregular patch. The same eruption was spread on both arms and hands with some haemorrhagic patches, swelling, and a cyanotic appearance. A similar eruption was present on the legs and feet. Our diagnosis was that of lupus erythematosus diffusus--which we considered to be a tuberculide. The Moro test was applied, with positive results. The Wassermann was negative. The first treatment advised was a tonic with quinine and nux vomica internally, and the application of a liniment of oxide and carbonate of zinc on the affected areas. In the beginning, there was some improvement. In the last week of October she was much worse. The patch of eruption on the neck and chest was sore, discharging serum, and she...