Transactions of the American Dermatological Association (Volume 24) (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1901. Excerpt: ... Dr. Isadore Dyer of New Orleans read a paper entitled BLASTOMYCETIC DERMATITIS AND ITS RELATION TO YAWS A CASE IN POINT. At the end of March, 1899, a patient came under observation in whom the diagnosis was for some time in doubt. In many particulars fulfilling the clinical characteristics of yaws, the case lacked some of the features which determine this disease. My attention at this time was directed to the excellent reports of Dr. Gilchrist of Baltimore, and Drs. Hyde, Bevan and Hektoen of Chicago, on blastomycetic dermatitis. My case seemed to fall within the diagnostic lines of the last-named condition. With the purpose of confirming this opinion, I solicited the assistance of Dr. Gilchrist, who facilitated me in every way. He directed the preparation of culture experiments and kindly examined specimens sent, from which he confirmed the diagnosis made of blastomyces. In a letter under date of October 20, 1899, he says: "I have examined two of the specimens which you sent me. The case is undoubtedly one of Blastomycetic dermatitis. I found but very few blastomyces in the sections and they were enclosed in miliary abscesses as I described in my two cases Johns Hopkins Reports and Journal of Experimental Medicine, Jan., 1898). The histological picture is just the same as in my cases, viz., marked hypertrophy of the epidermis and upper part of the corium, a few giant cells and large number of mastcells." With this basis of opinion, a series of culture experiments were started by Dr. P. E. Archinard of New Orleans, and carried on for a number of months, the final result being an impure culture which was sent to Dr. Gilchrist and upon which he has promised a report, to further confirm the diagnosis of blastomycetic dermatitis, which therapeutic measures ha...