Page:Archives of dermatology, vol 6.djvu/13



HE case of inflammatory fungoid neoplasm which I had the honor of bringing before the Association last year is of such importance that a few remarks supplementing that report must, I feel confident, prove interesting. I shall in no way retrace the ground of my former notes, assuming that the principal features of the disease, at least, will be readily recalled. The notes as they occur in the published account of the case (, January, 1879) are complete to October 1, 1878. I shall now proceed to give an account of the case from that date.

Through the month of October the symptoms, both general and local were, as before, variable. The forehead and popliteal space lesions continued to grow and soon began to be excoriated and crusted, discharging profusely. The forehead tumor now changed its shape by the neighboring smaller formation coalescing and merging into the central growth, which became, as it were, the focus. Various local remedies were from time to time employed, with a view of checking the secretion and modifying the odor, which had become very offensive ; among these I may mention the fluid extracts of Grindelia robusta and Thuya, diluted in various proportions, both of which moderated the itching. The preparation of Thuya acted powerfully for a time upon the growths, causing them to discharge more freely, and later to contract and diminish appre- ciably in size, but it was soon observed that the effect was not per-