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SCARLET FEVER AND STREPTOCOCCAL INFECTION.
1015 and one in particular manifested nasal herpes. In the dermatitis produced is stated to have general are in the opinion of the Council contrary to the public resembled that caused by phenazone in interest, and discreditable to the profession of medicine, closely and any registered medical practitioner who resorts to any susceptible people, and these seem to be usually such practice renders himself liable on proof of the facts persons with a seborrhaeic skin (Wise and Parkhouse). to have his name erased from the Medical Register." I have found no mention of pruritus with phenolI am, Sir, yours faithfully, phthalein exanthemata by other observers save Dr. NORMAN C. KING, Hunt, but I have known personally of two young April 27th, 1932. Registrar, General Medical Council. neurotic female patients in whom the giving thrice daily of 7-kand 10 grains respectively of phenazone has produced a marked itchiness of the skin, but with "VETERANS." no accompanying erythema. To the Editor of THE LANCET. I am, Sir, yours faithfully, G. AUBREY. reference to the annotation under this SiR,-With Queen Anne-street, W., May 3rd, 1932. in 30th issue of the your April heading (p. 947), following practitioners whose names appear in the Medical Register, 1932, have also been registered for THE SERVICES 65 years or longer : Dr. Edmund Holland, of Hendon, ROYAL NAVAL MEDICAL SERVICE. registered on May 15th, 1863 ; Dr. Shephard Thomas Taylor, of Edgefield, Norfolk, on Oct. 21st, 1865 ; Surg. Comdr. I. S. Gabe is placed on the retd. list at and Dr. C. G. H. Baumler, now of Freiburg, on his own request. July 25th, 1867. Dr. Edmund Holland is the senior ROYAL NAVAL VOLUNTEER RESERVE. Fellow of the Royal College of Surgeons, and also Lt. J. A. Kerr to be Surg. Lt.-Comdr. Surg. the senior Member of the Royal College of Physicians. Proby. Surg. Sub-Lts. H. R. Vickers and B. R. Alderson Dr. Michael Grabham, of Madeira, the present senior to be Surg. Sub-Lt. Fellow of the Royal College of Physicians, qualified ROYAL ARMY MEDICAL CORPS. in 1861, although he did not register until 1883. M. Apsey relinquishes his temp. commn. Lt. G. R. I am, Sir, yours faithfully, Lt. C. P. Allen (temp. commn.) to be Capt. or
of
being associated with
or
employed by
those who
sanction, such employment ;
W. J. BISHOP,
April, 29th, 1932.
Assistant Librarian, Royal College of Physicians of London.
ARMY RESERVE OF OFFICERS.
Lt. J. Neil Leitch, from Reg. Army Res. of Off., to be Lt. TERRITORIAL ARMY.
SCARLET FEVER AND STREPTOCOCCAL INFECTION. To the Editor of THE LANCET.
Lt.-Col. E. M. Cowell, from R.A.M.C., to be Col. Lt.-Col. A. Ramsbottom, having attained the age limit, retires and retains his rank, with permission to wear the prescribed uniform.
SiR,-I was much interested in Dr. Whitfield’s letter in your last issue (p. 955) as I quite agree that we ought to hesitate before accepting a streptococcus There is another point as the cause of scarlet fever. I would like to raise-namely, that of the value of scarlet fever streptococcal serum in the treatment of this disease. Are the results of treatment by scarlet fever serum in any way comparable with those obtained from the use of diphtheritic serum in the treatment of diphtheria ? I have been unable to satisfy myself that the incidence of complications was lessened to any great extent in serum-treated cases, as opposed to non-serum-treated ones ; moreover, the period of detention in hospital for such cases was no shorter than for those which had not been given serum. I am, Sir, yours faithfully, J. TODESCO. Croydon Borough Hospital, May 3rd, 1932. TOXIC EFFECTS OF PHENOLPHTHALEIN.
To the Editor
of
W. J. Stewart. The undermentioned appts. are made :-To be Lts. (on prob.) : G. R. M. Apsey and Hannes Hannesson.
A
BIRMINGHAM
and
HOSPITAL
SHRINE.-A
brick
Dudley-road Hospital, Birmingham, has been transformed, at the cost of the staff and friends, into a shrine or chapel for the reception of patients who die in the hospital. room
at
A DONCASTER INFIRMARY SWEEPSTAKE.-The Doncaster Infirmary Supporters (St. Leger) Association has been formed with the object of raising joe50,000 by means of a sweepstake on the race for the St. Leger. The mayor of Doncaster was the first member to be enrolled, and the chairman of the committee is the honorary solicitor to the hospital. The annual subscription is 5s. ;an office has been taken, and Miss A. E. Hanchett, the infirmary’s has been given six months’ leave of absence to enable her to take the post of secretary of the Association. The hon. treasurer is the manager of a local bank. The proportions of the subscribed money to be allocated to the infirmary and to the members on the result of the race have not yet been determined. Membership forms are being sent to every house in the district served by the hospital and applications for membership have already been received from many parts of the country. The objects of the association appear to be wider than the organisation of a sweepstake, the rules giving powers " to take such steps by personal or written appeals, public meetings or otherwise as may from time to time be deemed expedient for the purpose of procuring contributions to the funds of the association, in the shape of donations, annual subscriptions, or otherwise " and " to subscribe to any local or other charities and to grant donations for any public "
appeals secretary,
THE LANCET.
SiR,—Dr. Elizabeth Hunt’s letter, informative
interesting as it is, would be dosage of phenolphthalein
INDIAN MEDICAL SERVICE.
Capts. R. N. Bhandari and A. J. C. Culhane to be Majs. The prob. appts. of the undermentioned officers are confirmed : To be Capt. : R. M. L. Still. To be Lts.: B. Temple-Raston (now Capt., prov.), Mazhar Hussain Shah, G. K. Graham, A. W. West, J. O’Neill, H. B. Macevoy, M. K. Bryce, M. M. Mansfield, J. Guthrie, J. L. O’Neill, and
of increased value if the were indicated in the cases she describes. Wise and Abrahamovitch, writing in 1922, describe several cases in the U.S.A. showing " a peculiar polychrome eruption of the skin with bullous, vesicular eroded lesions of the genitals, and mucosee." They stated that pigmented areas may persist for years and are liable to activity again on resumption of the drug, to which, it seems, according to every account, there is no establishment of tolerance. In 1923 further cases were observed purpose."
of
being associated with
or
employed by
those who
sanction, such employment ;
W. J. BISHOP,
April, 29th, 1932.
Assistant Librarian, Royal College of Physicians of London.
ARMY RESERVE OF OFFICERS.
Lt. J. Neil Leitch, from Reg. Army Res. of Off., to be Lt. TERRITORIAL ARMY.
SCARLET FEVER AND STREPTOCOCCAL INFECTION. To the Editor of THE LANCET.
Lt.-Col. E. M. Cowell, from R.A.M.C., to be Col. Lt.-Col. A. Ramsbottom, having attained the age limit, retires and retains his rank, with permission to wear the prescribed uniform.
SiR,-I was much interested in Dr. Whitfield’s letter in your last issue (p. 955) as I quite agree that we ought to hesitate before accepting a streptococcus There is another point as the cause of scarlet fever. I would like to raise-namely, that of the value of scarlet fever streptococcal serum in the treatment of this disease. Are the results of treatment by scarlet fever serum in any way comparable with those obtained from the use of diphtheritic serum in the treatment of diphtheria ? I have been unable to satisfy myself that the incidence of complications was lessened to any great extent in serum-treated cases, as opposed to non-serum-treated ones ; moreover, the period of detention in hospital for such cases was no shorter than for those which had not been given serum. I am, Sir, yours faithfully, J. TODESCO. Croydon Borough Hospital, May 3rd, 1932. TOXIC EFFECTS OF PHENOLPHTHALEIN.
To the Editor
of
W. J. Stewart. The undermentioned appts. are made :-To be Lts. (on prob.) : G. R. M. Apsey and Hannes Hannesson.
A
BIRMINGHAM
and
HOSPITAL
SHRINE.-A
brick
Dudley-road Hospital, Birmingham, has been transformed, at the cost of the staff and friends, into a shrine or chapel for the reception of patients who die in the hospital. room
at
A DONCASTER INFIRMARY SWEEPSTAKE.-The Doncaster Infirmary Supporters (St. Leger) Association has been formed with the object of raising joe50,000 by means of a sweepstake on the race for the St. Leger. The mayor of Doncaster was the first member to be enrolled, and the chairman of the committee is the honorary solicitor to the hospital. The annual subscription is 5s. ;an office has been taken, and Miss A. E. Hanchett, the infirmary’s has been given six months’ leave of absence to enable her to take the post of secretary of the Association. The hon. treasurer is the manager of a local bank. The proportions of the subscribed money to be allocated to the infirmary and to the members on the result of the race have not yet been determined. Membership forms are being sent to every house in the district served by the hospital and applications for membership have already been received from many parts of the country. The objects of the association appear to be wider than the organisation of a sweepstake, the rules giving powers " to take such steps by personal or written appeals, public meetings or otherwise as may from time to time be deemed expedient for the purpose of procuring contributions to the funds of the association, in the shape of donations, annual subscriptions, or otherwise " and " to subscribe to any local or other charities and to grant donations for any public "
appeals secretary,
THE LANCET.
SiR,—Dr. Elizabeth Hunt’s letter, informative
interesting as it is, would be dosage of phenolphthalein
INDIAN MEDICAL SERVICE.
Capts. R. N. Bhandari and A. J. C. Culhane to be Majs. The prob. appts. of the undermentioned officers are confirmed : To be Capt. : R. M. L. Still. To be Lts.: B. Temple-Raston (now Capt., prov.), Mazhar Hussain Shah, G. K. Graham, A. W. West, J. O’Neill, H. B. Macevoy, M. K. Bryce, M. M. Mansfield, J. Guthrie, J. L. O’Neill, and
of increased value if the were indicated in the cases she describes. Wise and Abrahamovitch, writing in 1922, describe several cases in the U.S.A. showing " a peculiar polychrome eruption of the skin with bullous, vesicular eroded lesions of the genitals, and mucosee." They stated that pigmented areas may persist for years and are liable to activity again on resumption of the drug, to which, it seems, according to every account, there is no establishment of tolerance. In 1923 further cases were observed purpose."