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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    from beneath, that only a sufficient supply of blood seems to reach the surface through it, to support a feeble vitality, but not enough to set on foot the reparative process. To a chronic ulcer in this low state of vascularity and sensibUity, the epithet “ callous ” is aptly enough apphed; and there is but httle prospect of heahng such a sore until the absorption of its indurated base and margin be accomphshed. But callous ulcers are not necessarily insensible. Many an old sore, with pale, shining, bloodless surface, and, thickened margin, the rugged skin of which resembles that of the sole of the foot, is as painfully sensitive as the most angry-looking ulcer. This combination of callousness and irritability is not unfrequent in sores lying behind or below the ankle, and perhaps no specimen of the disease is more difficrdt to deal with. In some of these cases the sore is almost tied down by adhesions to the back of the malleolus; and the morbid sensi- bOity has appeared to me to be augmented, if it is not caused, by the pressure of the indurated skin and the deposit beneath it upon the nerves of the part. On the other hand, it is by no means un- usual to find an insensible sore of long standing become extremely tender as soon as it has been brought into a heahng condition by the absorption of this deposit, and continue so until nearly