File:Tri-State medical journal and practitioner (1897) (14777921492).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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he upperpart of the lupus lesion, which has existed quite some time. These few preliminary remarks have been made for the purpose of in-troducing a short description of a scar which would seem to be an exceptionto the ordinarily accepted rule. As has been already stated, lupus will befollowed by a scar which may be either spontaneous or the result of an artificialproduction by caustic or surgical measures. In all of these cases the scarwhich follows, and this is especially true of the former, has a tendency tobe more or less corded, the fibrous bands which form assuming a stellate Lupus Vulgaris—Ohmann-Dumesnil 19 appearance, as noted above. In some few instances, instead of a thick*1 orcorded scar, there is a thin, smooth, shining cicatrix, as is shown in Fig-ure 3. And it is in this particular variety that care is to be especially ex-ercised in formulating a diagnosis so as not to come to any erroneous con-clusion. The following is a brief description of the case which is figured,
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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

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