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ACNE PUNCTATA AND ROSACEA,
685
nownsually employed promise fairer, as a haps, excuse me, should such have been the therapeutical agent, for their speedy removal. case, for thus taking attention from more important
cases are inclosed, in addition to my in which I have been happy enough own,
Three
to succeed.
Your obedient servant, G. T. BLACK.
matters.
York-street, Bristol, July 29,1841.
CASE L-A man,
aged 40, temperament nervo-bilious ; symptoms much as usual, but severe ; redness of the conjunctiva adnata, excessive pain, intolerance of light, &c.; and lachrymation ; thirst ; headach ; preternatural heat of body ; great pulsation of the temporal arteries, and other febrile symptoms :-venesection to twenty ounces ; calomel and jalap purges, abstinence, and poppy decoction. These but ill succeeded. Sedative lotions, tartar emetic in nauseating doses-slight benefit. Calomel and opium three times a-day : vessels of the conjunctiva still distended, but less bright ; general health better; less headach, &c. Patient thoughtlessly absented himself for two days : on next appearance the eyes apparently much the same, but complains of dimness of sight; stimulating lotion; no evident change. Creosote lotion* to be used three times a-day. At the expiration of a week, less redness, and no dimness of sight. I have once seen him-quite recovered.
CASE 2.-A young man, aged I8 (lymphatic temperament), while at his usual employment had a piece of lime accidentally thrown into his eye, which produced inflammation, that ended in an ulcer near the internal canthus. Upon a subsequent attack from exposure to cold winds the cicatrix spread to a great extent, bordering on the margin of the pupil, attended with indications of chroAs far as I conveniently nic inflammation. coald, the excrescence was removed by knife; the after-application of creosote, in an undiluted state, diminished the remaining portion, and dissipated the inflammation.
DISLOCATION OF THE WRIST. To the Editor of THE LANCET. -the possibility of the occurrence of the above accident being questioned by high authority, and recently in your Journal, I beg to forward for publication the following case, which removed from my mind all doubt on the subject. I have the honour to be, Sir, your obedient servant, RALPH N. M’DERMOTT, Surgeon.
24, Percy-place, i
July 28, A young
Dublin,
1841.
gentleman,
aetat. between 14 and
high wall, and finding himself falling, instinctively put out his 15, climbing
over a
hands to break his fall. He came with all his weight on his out-spread palms, and states, that "his wrist was doubled under him," the inferior incisors cut deeply into the lower lip, and the left wrist was dislocated. I was sent for, and saw him in half an hour after the accident occurred. The carpus formed a tumour posteriorly, above which there was a depression. Anteriorly I could feel the ends of the radius and ulna, in the palm of the hand, which was semiflexed, and supported carefully by his right hand. He complained of a numb or dead sensation in the limb. Reduction was easily accomplished, and the power of motion in a great degree i-estored to the joint. A splint and cold lotion were applied, both of which were laid aside after the second day, not being found agreeable to my patient. A professional friend saw this case with me, and at once concurred in the diagnosis of dislocation.
CASE 3.-A child with ophthalmia tarsi. yielded to none of the usually employed remedies, but gave way to the application of the creosote ointment, and the internal administration of the disulphate of quinine. I am fully aware how generally the therapeutical properties of creosote have been ACNE PUNCTATA AND ROSACEA, called into notice, such as an application to burns and ulcers, in herpetic, furfuraceous, To the Editor of THE LANCET. squamous and crustaceous skin affections ; in bronchitis to promote expectoration ; in SIR:_Having at present under my care toothach; in atonic rheumatism, &c. &c.; several cases of acne punctata and acne but I have not yet seen any account of its rosacea, and having exhausted all my stock use in affections of the eye, which will, perof remedies, none of which have succeeded, It
*
The formula of the lotion the strength to circumstances, is
gradually increasing R
employed, according
perhaps some of your numerous correspondents may know of some remedy which may I be successful ; if so, I will be much obliged I, to them if they will let me know in the next number of THE LANCET.
Your obedient
servant, Creosote, m. iij ; E. C., Surgeon. Compound tincture of lu2etder, m. xx ’, Distilled water, 3S8. ! Sunderland, July 28,1841.
nownsually employed promise fairer, as a haps, excuse me, should such have been the therapeutical agent, for their speedy removal. case, for thus taking attention from more important
cases are inclosed, in addition to my in which I have been happy enough own,
Three
to succeed.
Your obedient servant, G. T. BLACK.
matters.
York-street, Bristol, July 29,1841.
CASE L-A man,
aged 40, temperament nervo-bilious ; symptoms much as usual, but severe ; redness of the conjunctiva adnata, excessive pain, intolerance of light, &c.; and lachrymation ; thirst ; headach ; preternatural heat of body ; great pulsation of the temporal arteries, and other febrile symptoms :-venesection to twenty ounces ; calomel and jalap purges, abstinence, and poppy decoction. These but ill succeeded. Sedative lotions, tartar emetic in nauseating doses-slight benefit. Calomel and opium three times a-day : vessels of the conjunctiva still distended, but less bright ; general health better; less headach, &c. Patient thoughtlessly absented himself for two days : on next appearance the eyes apparently much the same, but complains of dimness of sight; stimulating lotion; no evident change. Creosote lotion* to be used three times a-day. At the expiration of a week, less redness, and no dimness of sight. I have once seen him-quite recovered.
CASE 2.-A young man, aged I8 (lymphatic temperament), while at his usual employment had a piece of lime accidentally thrown into his eye, which produced inflammation, that ended in an ulcer near the internal canthus. Upon a subsequent attack from exposure to cold winds the cicatrix spread to a great extent, bordering on the margin of the pupil, attended with indications of chroAs far as I conveniently nic inflammation. coald, the excrescence was removed by knife; the after-application of creosote, in an undiluted state, diminished the remaining portion, and dissipated the inflammation.
DISLOCATION OF THE WRIST. To the Editor of THE LANCET. -the possibility of the occurrence of the above accident being questioned by high authority, and recently in your Journal, I beg to forward for publication the following case, which removed from my mind all doubt on the subject. I have the honour to be, Sir, your obedient servant, RALPH N. M’DERMOTT, Surgeon.
24, Percy-place, i
July 28, A young
Dublin,
1841.
gentleman,
aetat. between 14 and
high wall, and finding himself falling, instinctively put out his 15, climbing
over a
hands to break his fall. He came with all his weight on his out-spread palms, and states, that "his wrist was doubled under him," the inferior incisors cut deeply into the lower lip, and the left wrist was dislocated. I was sent for, and saw him in half an hour after the accident occurred. The carpus formed a tumour posteriorly, above which there was a depression. Anteriorly I could feel the ends of the radius and ulna, in the palm of the hand, which was semiflexed, and supported carefully by his right hand. He complained of a numb or dead sensation in the limb. Reduction was easily accomplished, and the power of motion in a great degree i-estored to the joint. A splint and cold lotion were applied, both of which were laid aside after the second day, not being found agreeable to my patient. A professional friend saw this case with me, and at once concurred in the diagnosis of dislocation.
CASE 3.-A child with ophthalmia tarsi. yielded to none of the usually employed remedies, but gave way to the application of the creosote ointment, and the internal administration of the disulphate of quinine. I am fully aware how generally the therapeutical properties of creosote have been ACNE PUNCTATA AND ROSACEA, called into notice, such as an application to burns and ulcers, in herpetic, furfuraceous, To the Editor of THE LANCET. squamous and crustaceous skin affections ; in bronchitis to promote expectoration ; in SIR:_Having at present under my care toothach; in atonic rheumatism, &c. &c.; several cases of acne punctata and acne but I have not yet seen any account of its rosacea, and having exhausted all my stock use in affections of the eye, which will, perof remedies, none of which have succeeded, It
*
The formula of the lotion the strength to circumstances, is
gradually increasing R
employed, according
perhaps some of your numerous correspondents may know of some remedy which may I be successful ; if so, I will be much obliged I, to them if they will let me know in the next number of THE LANCET.
Your obedient
servant, Creosote, m. iij ; E. C., Surgeon. Compound tincture of lu2etder, m. xx ’, Distilled water, 3S8. ! Sunderland, July 28,1841.