Vol. 60, 1909 - University of North Carolina at Chapel Hill

XXII THE CHARLOTTE MEDICAL JOURNAL.
Intravenous Use Of Dlpbtlieria Antitoxin, demonstrated. Each case must be dealt
In severe ca&esof diphtheria E. Schreiber with according to its peculiarities,
uses the antitoxin intravenously. Even The treatment should be constitutional
very young children could tolerate as much and local. Under the former head must be
as 2,000 units without any after-effects. In included careful regulation of the diet, so
two almost desperate cases 6,000 and 10,- that the intestine may not be loaded with
000 units were injected with absolute sue- materials that may form a favorable soil for
cess. infection. Anything, like coffee and tea,
OAmong 20 cases treated in this wav, only which causes flushing of the face, is conene
died on the thirteenth day of heart fail- traindicated. Quinine is often useful,
ure. The temperature always falls more Locally, in the hyperemic stage, he prerapidly
and the general condition improves scribed cooling lotions and ointments of
more quickly than after the usual subcuta- subacetate of lead. Ichthyol in the form of
neous administration. The small percent- a lotion or an ointment he also found to be
age of carbolic acid present need not cause amousj the most useful of local remedies,
alarm. The local process does not, how- In chronic cases the constant application of
ever, clear up more rapidly. Where a vein a strong solution of ichthyol is the best
cannot be exposed, the injection should be remedv, but iodine liniment is also valuamade
into the gluteal region, as absorption ble. In severe conditions linear scarificais
here more rapid than from the subcuta- tion or light touch's of the thermo-cautery
neous tissue.— ;\Iuench. med. Woch. he found often to give good results. In
subacute cases he has sometimes used high
New Treatment of Syphilis.
frequency currents and in chronic cases the
Finsen light and the X rays with success. '
As soon as the primary sore has appeared These agents are particularly useful in the i
it is impossible to abort syphilis, but, ac- later stages when there is thickening of the i
cording to the observation of H. Hallopeau, integument. Radium may be applied to ;
the course of the disease may be much limited areas for ihe seme purpose.—The i
shortened by the following treatment: o.t London Medical Lancet,
Gm. atoxyl, dissolved in 2 Cc. of boiling .
water, are injected daily into the immediate
vicinity of the primary sore during the entire
period of incubation; that is, about six
itchina and its Treatment.
Itching, or pruritus, is a prominent symp- ;
weeks." In oersons over fiftv, with disturb- torn of many skin affections. It may also i
ance of vision, the atoxvl derivative, hektin, occur without any skin eruption, or such ;
is to be preferred, though it causes more skin lesions as are present may be the result |
severe local reaction. The sore will rapidlv o^ scratching. Very often it is on account \
heal, the swelling of the inguinal glands °^ the pruritus that a patient seeks advice, \
will be slight or absent, and a roseola or rather than because of the inconvenience
other eruption will not appear. At the
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of any eruption, or for other symptoms. ]
same time, the patient receives daily for ^^^^t it is the duiy of the medical man, not |
two weeks 0.02 Gm. of mereurv benzoate merely to attempt to treat this symptom, but by injection, with fivst 1 Gm., then 2 Gm.
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to find out the cause of it, and, if possible, :
of potassium iodide internally per dav. An to lemove it.
ointment containing ,30 per cent, of atoxyl Having made the diagnosis of scabies or
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is applied locallv to' the sore. The pain of of pediculosis, the treatment is aimed at the
the injections of the benzoate can be dimin- cause of the disease, and the well-known |
ished bv dissolving 0.02 Gm. of the salt in application for these complaints generally ;
4Cc.ofa 10-percent, sugar solution. In quickly remove this troublesome symptom,
some cases that were treated in this manner I" scabies, however, a good deal of itching i
the Wasserman reaction never became posi- may be complained of even after disease is
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tive.—Gaz. de Hopit. cured. This is generally speedily removed
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^___^^ by a mild tar lotion. The treatment of
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"^^'^ Treatment of Lupus Erythematosus. ''°\^^ entered into here. In ^
f.",^'"^
lichen planus and urticaria the same appli- :
Lupus erythematosus appears to Sir Mai- cations are useful as in pruritus from other '.
colm A. Morris, of London, Eng., to be causes. In pruritus dependent upon the 1
essentially a chronic inflammation of the disturbance of the digestive functions the i
skin, local in origin, and depending on a bowels must be regulated and careful atten- "J
condition of the circulation which makes tion given to the diet. Alcohol, coffee, and ';
the integument prone to vasomotor disturb- any paiticular kind of food which has been i
ance. This may cause a predisposition to found to disagree must be avoided. Appro- j
toxic infection, but neither the fact of such priare treatment for diabetes and albumi- *
infection nor its nature has been positively iiuria will generally relieve the itching i.
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