The treatment of obstinate ulcers and cutaneous eruptions on the leg, without confinement / by Henry T. Chapman.

  • Chapman, Henry T. (Henry Thomas), 1806-1874.
Date:
1853
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of obstinate ulcers and cutaneous eruptions on the leg, without confinement / by Henry T. Chapman. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    oppressed condition of the circulation. It either becomes an enduring and distinctive character of the sore, as a consequence of the long-continued irritation to which the nerves have been exposed in neglected and mismanaged cases, or may have been an original feature from its earhest period. Dr. Billing suggests that morbid sensibility may sometimes be caused by inflammation of nerve, adding—“ I know of no other term by which to express their lesion.^^* This appears to be a very probable explanation of the persistent irritability last referred to, which yields more commonly to local antiphlogistic mea- sures than to any other treatment. As its tense and fiery look would denote, it is often far more acutely felt in the surrounding skin than in the ulcer itself; and this is especially the case with sores situated upon or behind the malleoli, the protuberance of which keeps the inflamed integu- ment continually on the stretch. In irregularly shaped sores about the ankle, a mere point of skin jutting out from their margin will occasionally be the seat of pain, recurring at uncertain periods with increased severity. During the paroxysm this spot becomes more prominent, and so ex- quisitely sensitive, that the patient cannot obtain * “ Principles of Medicine,” p. 46. Fiftk edition.