File:Tri-State medical journal and practitioner (1897) (14591772957).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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Fig. 2. I,upus Vulgaris, Ulcerative Porm. and it is the more interesting as it shows for how long a time lupus may per-sist in spite of all treatment properly directed but apparently impotent inits power to bring about a favorable result. The patient, a man about thirty years of age, was affected with lupuswhen yet a boy and he was subjected to various modes of treatment, all, how-ever, being of a caustic nature. No surgical means whatever were em- 20 Original Articles. ployed, nor was the actual cautery brought into requisition. So far asexamination could determine, chemical caustics were the means used and,whilst apparent improvement followed, no permanent cure was established.At the time that the patient presented himself for treatment the entire rightside of the face almost was covered by a thin scar of a more or less rosy
Text Appearing After Image:
Fig. 3. Lupus Vulgaris, Scar. color, with here and there a bluish tinge. Throughout the scar fine, moreor less, tortuous arteries were present. The scar itself presented a more orless slightly irregular appearance, showing that it was some thinner in cer-tain portions than in others. The right ear, which had been the seat ofthe disease, was smaller than the left, on account of the destruction of tissuewhich had taken place through a marked activity of the destructive process Lupus Vulgaris—Ohmann-Dumesnil. 21 which had not been checked. The lobe had entirely disappeared and theauricle gave very plain evidence of the trouble which had occurred. Onevery noticeable feature in connection with the scar was that the blood-vessels were much more marked and more numerous along its edges. Theseedges were not only of a deeper as well as darker color than the scar butwere also elevated, owing to the infiltration which was present. This isvery well shown in the illustration, as well as the widt

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