Anomalous Cutaneous Disease. 143 



ascertain, that the functions of any organ were performed 

 with any remarkable degree of irregularity. He com- 

 plained of no pain in the head, and the region of the spine 

 was not more than ordinarily sensible. He has had the 

 venereal disease severely, some time ago. His hair is of a 

 rusty red colour and frizzled, so as exactly to resemble that 

 of a negro. He said, when I asked him if it had always 

 been so, that his mother was a worker in wool, and this 

 had arisen therefrom. The nails are ill formed and small, 

 but not so much, as to attract particular attention. He 

 has for the last eight years, laboured under a degree of 

 hemeralopia. In the day, the expression of the eye is vivid, 

 and, is, indeed, the best feature in his face which has a 

 coarse, unhealthy scrofulous appearance. A friend of mine, 

 Dr. Wolfe, a German Physician of this town, says, he is 

 confident of having seen a similar case at St. Louis, under 

 the treatment of Alibert. I have some confused recollec- 

 tion of the same kind. From his being removed into an 

 hospital from under my care, I can give little information 

 as to the treatment, but, I believe, it was limited to the use 

 of the warm bath, internal use of arsenic and generous diet. 

 I have learned, that the case is in London, and has been 

 noticed by some of the periodicals. 



Article IX. 

 Comparitive success of Lithotrity and Lithotomy.* 



According to Velpeau, it appears that in 1827 Civiale had 

 operated by lithotrity upon 87 patients. Of these 38 died, 

 3 retained the calculi, 42 were cured, and 19 of them met 

 with severe accidents. In 1830, a new list of 24 calculous 

 cases exhibited 13 cures and 11 deaths ; and a subsequent 

 list of 53 cases, had 30 cures, 15 deaths ; in 8 the stone was 

 retained. In a 4th statistical table published by Ledain, of 

 30 cases, 18 were cured, 8 died, and 4 retained the calculi. 

 Of 14 cases treated by Bancal, 2 were cured, all the rest 

 died or retained their calculi. Omitting Bancal's cases, 

 this gives us a total of 194 cases — 103 cures and 72 deaths, 

 or the deaths to the cures are as 1 to 1-43. 



* l')bliotlie<|tip Ui)ivorscll<\ April. 1835. 



