Observations on certain eruptions of the skin which occur after recent operations and injuries : a thesis for the degree of M.D. in the University of Cambridge / by Edward C. Stirling.

  • Stirling, Edward Charles, 1848-1919.
Date:
1880
Catalogue details

Licence: Public Domain Mark

Credit: Observations on certain eruptions of the skin which occur after recent operations and injuries : a thesis for the degree of M.D. in the University of Cambridge / by Edward C. Stirling. 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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    non-infecticms rasli resembling it, is a matter of tolerably frequent observation of late years. The earliest reference to eruptions occurring in the traumatic state* that I can find is made by Civiale, who states that ‘ it is not uncommon to notice, particularly in patients with vesical calculi, either during the acute pains caused by the stone, or after any surgical operation, paprdes, petechias, and coppery patches.’t Elsewhere, in the same work, he again states that these eruptions are associated with calculi, and cites a case where an eruption of large, red, painful papules and patches made its ap- pearance two days after lithotrity. In the same year M. Germain See!]: noticed an eruption, closely resembling that of scarlet fever, after an opera- tion. In 1863 Maunder,§ at the Pathological Society, re- ported a case of median lithotomy in a child of 6 years, in whom, on the day following the operation, there were thirst, heat of skin, probably sore-throat, and a rash, con- sidered to be that of scarlet fever. A discussion thereupon took place in the society, and various cases of eruption after operation were cited by Drs. Graily Idewett, Broadbent, Crisp, Harley, and Messrs. Spencer Wells and Id. Lee. Except in Mr. Maun- der’s case, just quoted, no mention is made of any general symptom accompanying the rash, though this is variously described as a ‘ livid blush,’ or a ‘ scarlet erysipelatous blush,’ as ‘ scarlatinal,’ and in one case, as being distinctly of the nature of urticaria. The one point in which they all agreed was in their occurrence within a day or two, or even within a few hours, of an operation. In the same year Mr. Ilarrinson, at a meeting of the Reading branch of the British Medical Association, related a case in which, on the third day after a compound dislo- The traumatic state is, as I understand it, that peculiar state of system often associated with febrile symptoms, which may occur in the sub- jects of recent injuries or operations. When it exists to a marked degree we know it more familiarly as Burgical or inflammatory fever. t Train Pratique sur les Maladies dcs Oraancs Gcnito-urinaires, t. iii. p. 596 (1858). ' + Reported by Trelat, Progres Medical, September 14th, 1878. § British Medical Journal, 1863, vol. ii. p. 679.