Page:Archives of dermatology, vol 6.djvu/423

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AMERICAN DERMA TOL O GICAL ASSOCIATION. 411

A case worthy of special notice was recorded by Dr. Hart,* with the name " bloody sweat," which appears to have been one of pur- pura hemorrliagica and haematidrosis combined. There was marked constitutional disturbance preceding and accompanying the hemorrhagic manifestation, which consisted of bloody ejections from the stomach, bowels, and bladder, and an oozing of blood fi-om count- less points all over the body, "like bloody perspiration." When the fluid was removed, curiously enough, no staining of the skin was to be seen, the surface on the contrary appearing unnaturally clear and white.

Dr. Bulkley at this period gave out several therapeutical papers, one, "on the local use of tar and its derivatives in the treatment of skin diseases, "t being of especial merit. This was succeeded the following year by the publication of the formula of a useful alkaline tarry solution, which he designated "liquor picis alkalinus,"| and "a new anti-pruritic remedy, "§ consisting of equal parts of camphor and chloral.

The poisonous properties of the rhus plants also received atten- tion from Dr. White in articles entitled "on the action of rhus venenata and rhus toxicodendron upon the human skin,"|| and on ivy poisoning;^ also from Drs. Busey,** De Witt,ff Maltheson,|| and Humphreys, §§ the last-named observer recommending the use of sulphate of zinc.

The treatment of erysipelas was discussed by Dr. F. Le Roy Satterlee,|||| in a paper bearing the title "erysipelas: its etiology, pathology, and abortive treatment by quinine and opium," wherein was set forth the value of these remedies, especially the former. The treatment recommended consists of one, two, or three full doses of sulphate of quinine, combined with enough tincture or elixir of opium to moderate the disagreeable effects of the quinine upon the head and to assist sleep. In ordinary cases Dr. Satterlee begins by giving at night from twenty-five to thirty grains of quinine dissolved in an ounce and a half of water, with the addition of dilute sulphuric acid, the dose, if necessary, to be repeated on the second or even third night. The opium is said to mask the disagreeable taste of the quinine. The disease is usually aborted in from twenty-four to forty-eight hours. I would add, by way of comment on this plan of treatment, that it has proved satisfactory in my hands. The subject of " the etiology of psoriasis" was also considered by the same author about this period.

During the year the subject of rotheln, or German measles, re-

  • Richmond and Louisville Med. Jour., 1875, p. 98.

f Archives of Scientific and Practical Medicine, Feb., Mar., April, 1873. j Detroit Rev. of Med. and Tharm., Sept. 1874. I Trans. Amer. Med. Assoc, 1874. II N. Y. Med. Jour., March, 1873.

Bost. Med. and Surj^. Jour., .Sept. 2, 1875. 
    • Amer. Jour, of the Med. Sci., Oct. 1873. t+ I'^'^l-. >"• '874.

%% Ibid., Jan. 1874. Ib'd., July, 1874. nil N. Y. Med. Jour., Sept. 1874.