1283

HUNTERIAN SOCIETY.

Unilateral Sweating of the Face.A CLINICAL MEETING of this Society was held on Wednes-

day, Nov. llth, Dr. ;Stephen Mackenzie, President, in thechair.Dr. COTMAN showed a case of Blushing and Profuse

Sweating of the Right Side of the Face, produced bymastication of food, and following parotid suppuration.This was stated to be the first case recorded in England,but cases had been described by Berard in 1848 and Rougerin 1860, both following parotid suppuration, and both,writers assuming that the liquid exuding from the cheekwas saliva. Maschede in 186S, and Olivier in 1874, recorded-cases of unilateral sweating of the face from other causes,as did Drs Anderson, S. West, and Hadden in THELANCET in 1888-the latter a case associated with hemi-.atrophy of the face and of one vocal cord. The presentease was that of a lad, aged seventeen years, who six yearsago had severe deep-seated suppurative inflammation of theright parotid gland. The abscess was opened in two places.The ,cars now remained and were tender. Some weeksafter healing, sweating of the right side of the face wasnoticed whenever he ate, and this had cccurred ever since.Any food produced it, especially tasty food, a sour applemost of all; chewing cork or indiarubber had no effect, nor’had galvanism of the tongue. A blush appeared in fifteenseconds after chewing the apple ; in ten seconds more sweatappeared, and in twenty more it ran down in drops. Theduid had an acid reaction and contained chlorides. Therewas no loss of taste on either side of the tongue. Dr.Cotman’s hypothesis of the cause was that in the disorgani-sation resulting from the parotid suppuration some of thefibres of the facial and auriculo-tempGral nerves (the latternerve supplied the part affected by sweating) had communi-’cated. This being sc, when food was taken and the usualstimulus through the glosso-pharyngeal nerve reached the:facial, it was conveyed in part along its normal route to thesalivary glands and in part to the auriculo-temporal nerve,and so to the cutaneous glands.Amyotrophic Lateral Sclerosis.-Dr. F. J. SMITH showed

a man aged thirty-eight, a printer, with amyotrophic lateralsclerosis. For twelve months he had had progressive weak-ness of all limbs, with jerkiness and unsteadiness in walking.There was considerable wasting of the forearms and hands,with much loss of power; electrical reactions normal, exceptthat a rather stronger current was required. Marked ankle-clonus and exaggerated knee-jerks were present, but noevident wasting or loss of power in the legs. No bladder- or rectum symptoms. Lead and syphilis were excluded;’the prognosis was therefore unfavourable.FeMo AeropAtCjP<M’cysM.&mdash;Dr. SMITH also showed a

boy aged eleven, with pseudo-hypertrophic paralysis ; thegluteal and calf regions were only moderately enlarged, but’very firm. The gait in walking and the efforts made inrising from a lying posture were very characteristic. The

peculiarity of the case was the absence of neurotic hereditary’taint ; he alone of his family was affected.Papillomata (Jf Lar,?jnx, &c. -Dr. DUNDAS GRANT

showed a girl aged ten, from whose larynx he hadpreviously removed some papillomata, leaving, however,others in situ. He had since been able by the use ofMackenzie’s forceps to effect a complete clearance, and henow demonstrated with the oxyhydrogen light the healthy- condition of the larynx. Dr. Grant also showed a newLaryngeal Forceps devised by himself. It may be describedas Mackenzie’s cutting forceps, with prolongations hingedto the end of each blade, and hinged together at theirextremities. There was thus no risk of seizing any of thenormal structure of the larynx, so rendering them saferinstruments for general use. Dr. Grant also demon-strated the posterior rhinoscopic image in a case in whichhe had perforated a cicatrix occluding one of the pos.terior nares, and showed Hoffmann’s self-retaining palateTetractor.Graves’ Disease.-Dr. A. T. DAVIES showed a case of

incipient Graves’ Disease in a woman aged forty years. Herparents were heavy drinkers; the mother committed suicide,and she had had much worry in consequence.-Mr. DENTONCARDEW said that where one or two only of the cardinalsymptoms of the disease were present recovery wascommon.

SHEFFIELD MEDICO-CHIRURGICAL SOCIETY.

THE following is a report of the proceedings of the meet-ing on Oct. 22nd, Mr. W. F. Favell, President, in the chair.

- PgM/MM.&mdash;Mr. DALE JAMES related a case of pem-phigus in a child four years of age, of three months’ durationwhen he first saw it. The arms, buttocks, and legs werecovered with large bullse containing serum, and in somecases pus. A few smaller hullse were situated on the abdo-men and face. The treatment, which had been completelysuccessful, was tan and iron baths, the blisters being prickedunder water, an ointment of zinc, chalk, and liq. carbonisdetergens, and tinct. ferri internally. The patient, thenquite well, was shown to the Society.

Spec&iacute;mens.-Mr. R. FAVELL showed a large Cyst removedfrom the right labium entire. He also showed the speci-mens from a case of Double Ovarian Cystic Disease occur-ring in a young woman aged twenty-two, who had threemonths previously been confined.Mr. A’IKIN showed a case of Ossifying Chondroma of

thirteen years’ standing. The patient, seventeen years ofage, had noticed his finger increasing rapidly in size thelast four months. On the possibility of the tumour takingon sarcomatous action, immediate amputation was advo-cated. Mr. Atkin also showed a peculiar case of PainfulAtrophy or Ulceration of the Nails. The patient, a marriedman, with no history of syphilis, congenital or acquired,was a saddler by trade. The toes were similarly affected.There was no inflammation and no indications of eitherpsoriasis or ringworm. The family history only disclosed aphthisical mother still living.New Surgical Dressing.-Dr. WEARNE CLARKE showed

a new surgical dressing, and pointed out that, while inappearance it resembled the familiar Gamgee tissue, itdiffered from it in consisting of two layers, one of absorbentwool to be placed next the wound, and another of non-absorbent wool externally. The outer layer was speciallyprepared so as to resist the passage of fluids. The dressingwas charged with sublimate throughoub. Ib was at onceabsorbent, waterproof, and aseptic. The dressing allowedthe free access of air, being porous ; but the air was filtered,in its passage through the wool, of the micro-organisms itcontained. The dressing itself was light, inexpensive, andcould be uqed in anv size or shape.

Unna’s Klinik.-Mr. DALE JAMES read a paper entitled "AGerman Klinik: a Visit to Unna." He summarised the workobserved by him during a recent visit to Unna’s Hospital atHamburg, and drew some lessons as to modifications hethought desirable in the English treatment of skin diseases.Among less interesting cases there were in hospital at thetime of his visit specimens of leprosy, lupus, dermatitisherpetiformis, hydrosis confined to the ala) nasi, elasticskin, ichthyosis, pemphigus foliacens, and psoriasis. Hisnotes on the treatment of leprosy, lupus, psoria&is, andeczema marked the divergence from English principlesand practice, especially the more elaborate methods ofexternal treatment that distinguished the German schools.Mr. James argued that English physicians had attachedmore importance to diet in skin diseases than it de-served, and pointed out that while there was a completewant of harmony and agreement in the dicta of our

men, the whole were controverted daily in Germanpractice. He instanced the abstention from smoked andsalt meats enjoined on the British sufferer, as contrastedwith the practice of Unna, where the ordinary smoked meatsof the German cuisine formed no mean part of the dietary.Special therapeutic means, such as the tan bath, which wasof special service in all hypersemic conditions of the skin,the salve and plaster mulls, &c., were explained or shownby Mr. James; and he also referred to the patient he hadshown earlier in the evening as an instance of the efficacy ofthe tan bath, arsenic having been purposely withheld. Hethen referred in some detail to the pathological investiga-tion undertaken at Einsbuttel by Dr. Unna and his assist-ants, favus, tinea, leprosy, cheiro-pompholyx, the puru-lent diseases of the skin, and the anatomy of variola havingbeen worked out there with great results. Mr. Jamesshowed several of Dr. Unna’s special preparations, togetherwith his micro-brenner and a series of slides of leprosy,lupus, and the reputed bacillus of psoriasis. Several purecultures of tinea tonsurans, tinea barbse, tinea from abullock, and three different forms of favus achorion, werealso exhibited.