Medical and surgical report of the Presbyterian Hospital in the City of New York . ning the previous history of the patient, it was ascertainedthat she is epileptic. These seizures date back to October, 1902; theywere well controlled by her family physician by moderate doses ofbromide of potassium. A trivial acne was an occasional accom-paniment of this medication. She was then put upon a course of pepto-manganate of iron. Toward the end of July and up to the time whenfirst seen she took a proprietary medicine. A thorough analysis subse-quently made by Mr. Alfred L. Freligh, the pharmacist of


Medical and surgical report of the Presbyterian Hospital in the City of New York . ning the previous history of the patient, it was ascertainedthat she is epileptic. These seizures date back to October, 1902; theywere well controlled by her family physician by moderate doses ofbromide of potassium. A trivial acne was an occasional accom-paniment of this medication. She was then put upon a course of pepto-manganate of iron. Toward the end of July and up to the time whenfirst seen she took a proprietary medicine. A thorough analysis subse-quently made by Mr. Alfred L. Freligh, the pharmacist of the Hospital,showed that this contained bromide of potassium in the proportion ofeighty grains to the fluid ounce. The daily dose, taken for a periodof six weeks, approximately estimated, was between thirty and fortygrains. Within the first week a papulo-pustular eruption appearedon face, then on arms and legs. Many of the lesions soon coalescedand enlarged until they assumed the proportions indicated above. Ondiscontinuing the mixture and under dressings of solutions and oint-. An unusual case of fungating bromide of potassium eruption. 2 24 FUNGATING BROMIDE OF POTASSIUM ERUPTION. ments of boracic acid, all of them underwent gradual was practically completed by October loth, brownish-red pig-mentary stains marking the former site of the affection. The fungating bromide eruption is indeed very uncommon. Casesof this description have been published by Seguin,i Taylor, ^ G. ,^ Wallbaum,^ Horrocks,^ Szadek,^ Haslund,^ Pini,^ and two cases reported by Jackson ^ were apparently of minor degree. The writers personal experience is limited to four cases. For theopportunity of seeing three of these he is indebted to the courtesy ofDr. Forbes Hawkes, Dr. Max G. Schlapp, and the late Dr. R. S. fourth is the one here recorded. All of the patients were seen at the Out-Patient Department; allwere epileptic; in all, the tibial region was the part


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