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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    in the state of the mouth; every three or four days he had an attack of salivation which lasted, to his great discomfort, for the greater part of the day; and at other times he had to he con- tinually cleaning from his mouth and fauces much most tenacious and offensive mucus. The whole hody was covered with blebs and sores, the stench from which, as well as from his mouth, was almost intolerable. He was clothed from neck to feet in lint spread with carbolized vaseline.* Mr. Walter Coulson, by the patient's desire, now saw him, and by his suggestion Warburg's Tincture was given with the Arsenic for some time instead of the Quinine. It was now the month of May and his illness began in the middle of January. He had been taking arsenic in as large doses as may be given with safety for several weeks, besides abundance of other tonics and very large supplies of nutritious fluid support, all of which he has kept down and digested, but nothing is substantially better. I have thought on some days that there was slight improvement in the mouth—the raw surfaces not so deeply injected, less salivation, and somewhat less tenderness—and so also with the eruption ; the papillary elevations drying up and shrinking to some extent, and some of the raw places left by the pemphigus becoming paler and looking healthier; but some of these appearances, inspiring hope and continued perseverance, varied from day to day, and whilst on the one hand we might think and hope that the disease was coming to an end, on the •other there was too much room for fear that the poor emaciated and exhausted patient could not hold out much longer. Mr. Hutchinson saw him again at this period and advised the administration of laudanum in ten minim doses every six hours. A few days after this, by the desire of his friends, I saw Sir William Gull, and described the case to him and all that * The use of the Ca-bolic Acid was discontinued after some time as well as the Carbolic mouth washes, because he got green urine. Ung. Carbonis Deterg, and afterwards Zinc Ointment were substituted.