On the treatment of lupus / by J. L. Milton.

  • Milton, J. L. (John Laws), 1820-1898.
Date:
1866
Catalogue details

Licence: Public Domain Mark

Credit: On the treatment of lupus / by J. L. Milton. Source: Wellcome Collection.

Provider: This material has been provided by The University of Glasgow Library. The original may be consulted at The University of Glasgow Library.

    22/32 (page 18)
    was admitted April 26,. 1864, with creeping lupus in tlie form of an eruption of tubercles, scattered very thickly over the face from the lower eyelids almost to the month and across the whole breadth of the cheek. Some of these tubercles were undergoing a very slow absorption. The patient's account was that she had had this com- plaint ever since she was a baby. She was treated with only liquor arsenicalis. A perfect cure followed, there being only one slight relapse during treatment and that promptly quelled. She was seen long after, when it was found that there had been no return of the disease. Case 4.—Mary Ann P , aged 28, admitted July, 1864, with lupus extending over the whole of the face and great part of the scalp. It was a shocking case of disfigurement, every jmrt of the face being seamed with scar.-, and might be described as an instance of creeping lupus running at places into the more severe and destruc- tive variety. All this mischief had been done in a year and a half. She was not strong or very healthy-looking, neither could she bo called, except as regarded the disease, unhealthy. She was treated with arsenical solution, but in too small doses, as this was one of the cases in which I restricted myself to the quantities generally ordered. The arsenic was aided by calomel, and for a short time by iodide of potassium in bitters ; acid nitrate of mercury and nitrate of silver were applied to the ulcers. Twice I had nearly cured her, and both times she left off attending and had a bad relapse. I could not induce her to become an in-patient, and as she was always com- mitting some irregularity or making some mistake about the medi- cine, I threatened to discharge her; after which she came for some time pretty punctually, when just as I was flattering myself for the third time that I should effect a cure, she suddenly disappeared. Case 5.—Eliza W , aged 43, was admitted August 1, 1864, with creeping lupus. She was a remarkably healthy-looking woman. From her statement the disease had begun quite three years previously, in the course of which time it had gradually extended over tlie chin and lower lip, while an offshoot had begun to creep along under the chin towards the right ear. It was purely tuber- cular ; every time the disease spread at all, a tubercle formed and grew red, while the skin felt to her thick and stiff. None of these \ilcerated, but they slowly melted away, and where they had been, tlic skin grew whitiuh aud thin, looking as if it had been seared.