1170
PERISCOPE.
part 5ourtf?. PERISCOPE. OCCASIONAL PERISCOPE OF DERMATOLOGY. W. Allan Jamieson, M.D., F.R.C.P., Extra Physician for Diseases of the Skin, Edinburgh Royal Infirmary; Lecturer on Diseases of the Skin> Edinburgh School of Medicine; Consulting Physician to the Edinburgh City Hospital for Infectious Disease.
By
Some Selected Eecipes
Dr Unna.?Dr Mielck, who for many years, has
of
compounded most of Dr Unna's formulae published those most approved and tested. has
Gelatina Zinci Dura.
Gelatinas albae,. Zinci
4. 3. 5. ? 9. quibus si vis.
pts.
.
oxidi,
Glycerini, Aquae, Fiant lege artis gelatinae, pts. 21;
?
?
.
?
Admiscere potes. Picis liquidae. vel Ext. Cannabis Ind. vel
Kesorcini,
Corporum supradictorum
ptra. 1. vel minus.
....
cave ne
majorem quantitatem
Gelatina Zinci
?
adraiscas.
Vulgaris.
Gelatines albas, Zinci oxidi,
pts. ?
3. 3. 5.
Glycerini, Aquas, Fiant lege artis gelatinas, pts. 20; quibus ....
si vis.
Admiscere potes.
Sulphuris prascipitat,
vel
Ammonias
sulplioiclithyolici,
Pasta Calcis Chlorati
Ijt
.
.
Zinci oxidi, Olei cadini, Terrae siliceae, Calcii chlorati,
c.
Aquas distillatas, Vaselini flavi,
.
.
.
1.
^-1.
.
Pice.
....
.
ptra.
pts. 4.
.
?
.
?
.
.
.
.
.
v
.
.
.
?
4. 8. 2. 20. 26.
Solvantur et misceantur ut fiat pasta.
1890.]
1171
PERISCOPE OF DERMATOLOGY.
Pasta Plumbi
Lithargyri oxidi,
Aceti, evaporando .
Coquendo
et
.
.
.
.
?
agitationem fiat refrigeratse admisce.
massa
15. 20.
......
Pasta Zinci. Zinci oxidi, Teme silicete,
Adipis benzoati, Lege artis terendo
?
partium
.
.
?
.
.
?
.
40.
pts. 10.
....
.
pultiformis,
pts. 5.
.....
Iterum coquendo et Glycerini, Admiscendo fiat lege artis ponderis
I}*
6. 18.
.
.
inter
cui
Amyli, Aquas,
Amylo. pts.
c.
.
2. 28.
misceantur.
Pasta Zinci Mollis. Calcii carbonatis prsecipitatae. Zinci oxidi. Olei lini. Aquae calcis ana partes sequales. Lege artis misceantur.
5L
Pasta Zinci
R
Sidphurata. oxidi, pts. Sulphuris prgecipitati, Terrse siliceas, Adipis benzoati, Lege artis terendo misceantur.
Zinci
.... .
.
?
.
.
.
?
.
.
.
?
Spiritus Capillaris. Resorcini, pts. Spiritus, 95?, Spiritus cologniensis,
"
....
.
Olei ricini, Solvantur ut fiat .
.
TJnguentum 1^
Acidi
Acidi salicylici, Creasoti faginei Plus usque ad Cerae flavce,
.
.
.
?
.
.
?
?
5. 150. 50. 2.
liquor limpidus.
Salicylici .
.
.
Unguenti simplicis,
vel
.
6. 4. 2. 28.
.
Creasoto.
cum
pts.
.
.
.
?
.
.
?
.
.
.
.
?
.
.
.
.
?
4. 8. 4. 5. 4.
vel Minus usque ad 3. ? comquenao et proDe suoigenao tiat unguentum. et ceraj ratio inter se secundum aeris temperaturam differt. .
Leni
caiore
Ungaenti
.
.
1172
[JUNE
PERISCOPE.
Ungucntum Compositum Chrysarobini. Chrysarobini, pts. 5. ....
Acidi salicylici, Ammonige sulphoichthyolici, Vaselini flavi, Misce fiat unguentum. .
.
.
2. 5. 88.
?
.
?
.
?
Unguentum Compositum Pyrogalloli. Acidi pyrogallici, Acidi salicylici, Ammonige sulphoichthyolici, Vaselini flavi, Misce fiat unguentum. .
.
.
.
? .
?
.
.
Ungucntum Compositum Resorcini,
Unguenti simplicis,
?
Resorcini.
Ammonige sulphoichthyolici, Acidi salicylici, .
5. 2. 5. 88.
pts.
.
pts. 5.
aa
2. 88.
?
.
?
Misce fiat unguentum.
TJngwntum
Pomadinum.
Olei theobromge, Olei amygdalarum, ^Estate ; vel hieme usque ad Olei rosarum, .
.
.
Pomadinum
Sulpliuris prsecipitati,
Resorcini, Unguenti pomadini, .
.
?
.
?
.
?
2. 4. 6. 8.
Compositum. pts. 4.
.
.
.
.
pts.
.
.
.
.
Ungucntum
.
? .
.
?
2. 100.
Misceantur.
Ungucntum Befrigerans. T$c
pts. 12. Unguenti simplicis, Aqua rosge, 2. aa ? Aquge naphge, Lanolini pauxillum, fiat unguentum. .
.
.
.
Unguentum Simplex. Axungiae benzoatge,
pts. 1. Olei benzoati vel styracinati ptm. dimidiam. Non confundendo sed conterendo commisceantur. .
.
.
?Monatslicftc fur praktische Dcrmatologie, January 1,
1890.
Clinical Conversations at the Saint Louis Hospital, Paris?The Nature of Dermatitis Herpetiformis.?M. Halcopean Pie
1890.]
PERISCOPE OF DERMATOLOGY.
1173
sented a typical example of dermatitis herpetiformis, and expressed the following opinion as to the nature of the disease:?"The two most likely hypotheses are those referring it to a tropho-neurosis, or In favour of the trophoto an auto-intoxication by leucomaines. neurosis one can cite the intensity of the suffering, the symmetry of the lesions, and the possibility of the development of vesicular eruptions under the influence of the nervous system. But none of these reasons is absolute. The uneasiness can be explained by the congestion which terminates in the production of the lesions. The most perfect symmetry is seen in eruptions purely toxic, and the vesicular eruptions associated with nervous lesions possess objective characters very different from those which belong to an arthritic pemphigus. These latter exhibit, on the contrary, a striking analogy with some iodic eruptions, and one is thus led to seek for a toxic origin. But our patient has taken no drug, and it is therefore probable that in his case there is an auto-intoxication by chemical substances, those leucomaines which the organism is continually manufacturing, and whose chemical and physiological properties become modified under the influence of causes which we cannot elucidate, and which may possibly be of accidental or diathetic origin. Has this disease, as Bazin thinks, some connexion with arthritis ? In answer, the antecedents of the patient are not such as consist with this view." Mycosis or Granuloma Fungoides.?M. Bruchet showed a man, aged, in 1886, 65 years, who had since then had numerous tumours, which were established to be those of mycosis fungoides, but presenting rather remarkable features. He preserved throughout very good health. No visceral lesion was discovered, and all the functions fie was never affected with any of those eczematous were normal, or lichenoid eruptions which ordinarily precede the development of the tumours of mycosis; the characteristic neoplastic formations showed themselves from the first. The earliest symptom was that of a small hemispherical nodule, raising a portion of slightly injected skin. The tumour was hard, resistent, quite painless, and sharply defined from the neighbouring parts. It was seated immediately under the skin, and was movable on the aponeurosis beneath. The nodosity increased progressively by invading the thickness of the skin, became reddish-violet, and assumed the appearance of the rind of an orange. Such a tumour steadily grew larger; in course of time it ulcerated, and ended by becoming absorbed and disappearing, leaving, as the mark of its having been there, a scarred condition of the portion of skin implicated. He had also an epididymitis following an urethral discharge, but which was not regarded The epididymitis was believed to be due to the same as gonorrhceal. morbid process as the tumours on the skin, and this was confirmed by M. Quinquand, who had seen affections of the testicle shown by autopsy to be due to mycotic alterations in the organ. Successful Inoculation of Lupus into the Rabbit1 s Eye.?M. Trousseau showed two rabbits, into the anterior chamber of one, into
1174
PERISCOPE.
[JUNE
the substance of the cornea of the other, lie had introduced particles of lupus tissue. The portions which were introduced were totally absorbed in coarse of eight to ten days, but in a few days small white points showed themselves, which became true lupus nodules. Pityriasis Rosea Maculata.?M. Fournier showed an example of this, which had been diagnosed as a syphilitic eruption at another hospital. It was situated in an unusual locality, not occurring on the trunk, but solely on the left forearm. The primitive patch described by M. Brocq was, however, present. With respect to this case M. Yidal remarked : " I have myself made this mistake between pityriasis rosea and syphilis, in the case of a patient shown to me by a colleague. I diagnosed, as he did, a commencing papulosquamous syphilide. In course of time the development that it was an example of pityriasis rosea. An error is therefore possible."?Annates de Dermatologie et de Syphiligraphie, June, September, and November 1889.
proved
