History of a Case of Rheumatism, 65' 



will enable you to give it a just definition, and a proper 

 place aniong the Vermes. 



I am, &c., 



Samuel Cooper. 

 Pennsylvania- Hospital, March 28th, 

 1797. 



XIV. History of a Case of Rheumatism alternating with 

 a troublesome Affection of the Skin. Communicated 

 to the EpixoR, by Dr. Amos Gregg, Junr. 



Dear Sir, 



IN compliance with your request, I send you 

 the history of a case of Rheumatism alternating with 9 

 troublesome affection of the skin, which occurred under 

 the joint care of my Preceptor and myself. 



The patient, Isaiah M., a man of rather spare habit, 

 and about 40 years of age, had been subject to rheuma- 

 tism of the chronic form, for more than 15 years. Thi^ 

 duration of disease had emaciated him very much, and 

 produced an enlargement and stiffness of the joints, 

 which rendered walking painful and difficult, and often 

 impossible. 



He was in this situation in March, 1804, when th^ 

 Cuticular eruption appeiired on his legs. This eruption, 

 which was Herpes Pustulosus, gradually extended itself 

 over nearly the whole surface of the body, and, for six 

 or eight weeks, entirely suspended the rheumatic form 

 of disease. I'he herpes first appeared in small, red pim^ 



vox. II. PART II. t 



