THIS makes its appearance in the form of one or more circular elevations, of a dull red or salmon color, and partially transparent. When pressed under the finger, these elevations are found to be soft. and when the finger is removed, they are flat and whitened. They generally appear on the face, and particularly the nose.
In another and worse form of the disease, the tubercles are harder; and after a time, they become covered with thin brown scabs, which are scratched off, and followed by others, and these by others, until ulcers appear, which are sometimes slow and sometimes rapid in their progress. The whole nose has been destroyed by them in a month.(See Fig. 76.) This is one of the diseases which Erasmus Wilson thinks, and, in my judgment, correctly, to be, like scrofula, the result of tubercular poison, filtered through the blood of several 15 generations. It is a disease which is the most destructive in the shortest time of all diseases.
Treatment. The internal remedies are iodide of arsenic (141), and iodide of potassium (140); the external, vine gar of Spanish flies; and to promote the healing of the ulcers, a weak solution of nitrate of silver (211) (214) is adapted.
Hardly any disease has been treated by so many different remedies. At present the prospect of a cure is good, as certain antitubercular lymph injections have been found effective; but no time should be lost in immediately consulting a surgeon, as its growth can be arrested, and the disease may be exterminated by early treatment.
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