Abstract of all cases of tubercular disease which have been treated by Mr. Watson Cheyne with tuberculine up to the beginning of April, 1891.

Date:
[1891]
Catalogue details

Licence: Public Domain Mark

Credit: Abstract of all cases of tubercular disease which have been treated by Mr. Watson Cheyne with tuberculine up to the beginning of April, 1891. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    6 25 Name, age, sex, &c. History. Condition before injection. Frequency and amount of injections. 9 Miss C., set. 43, came under treatment on Feb. 28th, 1891. Diagnosis.— Lupus of face, enlarged glands in neck Tubercular family his- tory. The disease began 20 years ago in the middle of left cheek, and has only attacked the nose during the last 2 years. Has under- gone a variety of methods of treatment internal organs healthy. A number of enlarged glands in neck, some of which have suppurated. The whole of the left cheek is the seat of lupus, which extends on to the left ear, part of which is de- stroyed, and down into the neck and under the chin to the right side. The left upper eyelid is also extensively affected, and there is marked ectropion of the lower lid. It also extends on to and affects the whole of the nose, the part over the carti- lage being one mass of lupus tissue. The corresponding part of the interior of the nose is affected, and there are several spots on the upper lip. There is also an extensive patch of ulcerating lupus over the right cheek. On Feb. 20th I scraped the lupus as thoroughly as possible, applying nitric acid to the raw surfaces. There were, however, numerous nodules which I could not remove, as they were embedded in dense scar tissue, and I only scraped the nose superficially, for if I had attempted to do it thoroughly the whole of the cartilaginous portion must have come away ■002, 2’004; i’007; , 01; 1-01'-'01'--01'-'01'-01-'01'- ( 01, 01); j-Ol'-’Ol'- (•01', •01)-012-012'- ( 012, 012)--U15-(-015', -015)- (-015', •015)--02-(-01', -01)- (•oi', -oiK-or, -oi)- ( 013', -01-(-01', 01)- (•012', -015H(-015, -015)--02- (•02', -015)-( 02, -02)- (•02', ■025)-C025', -03)- (■03, -035H-035, 04)- (•04, '05). To continue 10 W. H., set. 21, male, K. C. H.; admitted Feb. 23rd, 1891. Diagnosis.— Lupus of face, hands, and leg, enlarged glands in neck No tubercular family history. The lupus on the face began 11 years ago, commenc- ing on the left cheek, and has been spread- ing steadily ever since, in spite of various operations and other treatment. When 6 years of age had tubercular dis- ease of one toe; this was followed 2 years later by disease of right elbow and of upper part of right tibia Internal organs healthy. Enlarged glands in neck. Extensive lupus of the face, involving both cheeks, upper lip, and the whole of the nose, a portion of which has been destroyed, and extending on both sides below the jaw, meeting at the chin. There is a large patch of lupus on the back of the left hand, and a smaller one on the back of the left forearm at the lower part. Sore on left leg, which he states was the result of an injury a month be- fore admission. On Feb. 25th, before commencing the Koch treatment, the left side of the face was well scraped, but the nose and the right side were left untouched •002'; 1'002; ! *002'; 2-002'; 1-002'; j-001; ! '001—’001; ^OOl-W- ■002--002'; !-003'--004- •005'- 005'-(O05, -005)--006'- (006, -ooej-ooe-cooe, -006)- (•006, -006H-006, 006)- (■008, 008)-( 01', -01, -01)- (•01, -01, -01H02, -02, 02)— ( 02, -02, -02)-C03, -03, -03)