Case of inveterate stomatitis : with pemphigus, &c., &c. / under the care of C.W. Chaldecott.

  • Chaldecott, C.W.
Date:
[1882?]
Catalogue details

Licence: Public Domain Mark

Credit: Case of inveterate stomatitis : with pemphigus, &c., &c. / under the care of C.W. Chaldecott. 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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    of all these surgeons, that he had constitutional syphilis. It appears that in infancy he had some disease of the nasal bones; he says that he has always understood that a nurse who was in- structed to inject his nostrils with a lotion, did some mischief which resulted in the falling in of the bridge of his nose; but there are no other circumstances whatever to corroborate the idea of congenital syphilis, and I believe Sir James Paget considered that the evidence was against this suspicion. His own theory is that he acquired one attack of syphilis, a short time previous to his marriage in 1870, from the mouth of a woman he kissed one night in the streets. From his own account also it is clear that at different times he has taken both Mercury and Iodide of Potassium for sufficiently long periods to make it very obvious that they were given for suspected syphilis. A year or so after marriage, his wife gave birth to a fairly healthy boy, who is living and well, though perhaps not very vigorous; but who is without any signs of syphilis. After this she had three or four consecutive miscarriages—again went her full time and has since given birth to three more children who have all lived and have no sign of disease. This severe condition of stomatitis, on account of which he first presented himself to my observation, had come on about three weeks previously, during which time he had seen Mr. W. Coulson once or twice, and subsequently Dr. Morell Mackenzie, who had prescribed Iodide of Potassium for him in 5-gr. doses once a day. I first gave him, at his own urgent request, a mercurial aperient pill, and chlorate of potash wash for the mouth. The day but one after this I found him profusely salivated, and with very offensive fcetor of breath. He declared that every dose of the iodide mixture made him worse, and I thought it possible that some peculiar form of iodism, aggravated by the calomel dose, might explain his condition, but subsequent events proved that this thought was erroneous.