On local asphyxia and symmetrical gangrene of the extremities / by Maurice Raynaud ; translated by Thomas Barlow.

  • Raynaud, Maurice R., 1834-1881.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: On local asphyxia and symmetrical gangrene of the extremities / by Maurice Raynaud ; translated by Thomas Barlow. Source: Wellcome Collection.

    88/206 (page 82)
    The wliite corpuscles were présent to tbe number of 10 to 12 in tbe field. April 7.—Tbe patient bas been able to walk. Urine continues abundant. April 8.—Tbe epidermis of tbe digital extremities of tbe bands is reddisb brown and parcbment-like ; on pressing it one feels clearly tbat it is no longer adberent to tbe subjacent true skin. On many digits tbere exist true blisters. Tbe pulp of tbe little finger bas become rosy again, witb tbe exception of two or tbree millimètres at tbe tip, Tbe nail is only partially black, and tbis is a pbenomenon of transparency, because tbe free edge of tbe nail is of a natural colour. On tbe two feet tbere are large blisters. It is wortby of remark tbat at tbis period of tbe disease, tbat is to say, more tban tbree weeks after tbe com- mencement, tbe nails of tbe diseased parts bave not pusbed forwards at ail, and bave exactly tbe saine lengtb as at tbe commencement. April 10.—Tbe rigbt tbumb bas recovered almost ail its sensibilitj'. In tbe otber digits tbe feeling is blunted, and tbere is still tbe sensation of tbings being felt as tbougb tbrougb parcbment. Several digits are diminisbed in size at tbeir ex- tremities and sbrivelled ; tbey look as if tbey bad been for a long time compressed by a ligature. Tbe extremity is very mucb tapered oft’. On tbe feet tbe blisters begin to dry up. Tbe second and tbird toes are very black ; tbe nails are of a greenisb tint. Tbe otber toes bave lost a little of tbeir dark colour. During tbe day tbere were tingliugs in tbe bands. On getting up tbe patient bas mucb difficulty in walking, especially on tbe left foot. Tbe œdema of tbe feet bas diminisbed a little. April 12.—Extrême excitement ; tbe patient does not feel any actual pains, but sensations like small sudden pricks, Tbe bands to-day feel very numb. Riçiht hand : desquamation over tbe tbumb and index Angers. On tbe middle finger a black longitudinal band ; tbis digit, as well as tbe ring finger, is as tbougb it bad been compressed. On tbe little finger tbe nail is quite black. Ail tbese extremities resemble parcbment. Left hand: bere are black patcbes on ail tbe digits. Tbey are sbrivelled as tbougb tbey bad been compressed witb a string.