On dactylitis syphilitica, with observations on syphilitic lesions of the joints / by R.W. Taylor.

  • Taylor, Robert W. (Robert William), 1842-1908.
Date:
1871
Catalogue details

Licence: Public Domain Mark

Credit: On dactylitis syphilitica, with observations on syphilitic lesions of the joints / by R.W. Taylor. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    lanx was normal but tense, and could be moved over the bone beneath, which felt as if it was evenly enlarged, but upon its radial side the spot before mentioned became thinner and pitted more upon pressure; still, with slight crepitation and scarcely any pain, gradually resuming, by its elasticity, its distended condition. The bony wall gradually became thinner, and a minute opening was made, giving exit to a clear viscid fluid. Upon probing, a cavity was found, but dead bone was not felt, nor were the parts sensitive. The swelling gradually diminished, especially upon its radial side, and the incisions opened and closed at various intervals, giving exit still to the viscid fluid, which sometimes contained cheesy masses. Fig. 3. Fig. 4. In March, 1865, the circumference of the phalanx was diminished to a little more than three inches, and its length was shortened about a third of an inch. The joint was still in the same condition. An active inunction treatment was now instituted, and sulphur-water was drunk copiously, and the finger rapidly reduced in size, and the fistulous tract, v hich had been reopened intentionally, then became permanently closed. In July, 1865 (the lesion having commenced in July, 1863), the phalanx