The Hahnemannian monthly . ion (if differencs exist) is notthe most easy. We may think of anthrax (malignant pustule),car-buncle, glanders, actinomycosis, diabetic gangrene, acute phlegmon,lupus, ulcerative stomatitis, gangrenous stomatitis (noma, cancrumoris, cancer aquaticus). Lupus, even in its most rapid form, is a slowly destructive dis-ease compared with my case. It also is a tubercular mass, with sepa-rate points of ulceration, and its great destruction follows this stageremotely. The presence of glycosuria was negatived by the urinary analysismade preliminary to the anaesthesia. Beside
The Hahnemannian monthly . ion (if differencs exist) is notthe most easy. We may think of anthrax (malignant pustule),car-buncle, glanders, actinomycosis, diabetic gangrene, acute phlegmon,lupus, ulcerative stomatitis, gangrenous stomatitis (noma, cancrumoris, cancer aquaticus). Lupus, even in its most rapid form, is a slowly destructive dis-ease compared with my case. It also is a tubercular mass, with sepa-rate points of ulceration, and its great destruction follows this stageremotely. The presence of glycosuria was negatived by the urinary analysismade preliminary to the anaesthesia. Besides this the slough of dia-betic gangrene is a yellowish color, not ashen-gray and black as wasfound here. The disease is more prone to select .the extremities orpressure-points than the face. An acute phlegmon is associated with high temperature, pain andpus; neither of which was present in any degree (absolutely no pusin the part). Actinomycosis is a new growth of granular tissue not associatedwith any rise of A Case of Gangrenous Stomatitis. iv.) i] .1 Qa8i oj Gangrenous Stomatitis. 105 Glanders seems to require close contact with the diseased animalor with a person who lias himself been inoculated direct from theanimal. The most careful inquiry failed to find any one at all asso-ciated with the child who had the slightest work- to do with animalsor their immediate products—and no one afflicted similarly to herwas ever known by the mother. Moreover, the sore was single, andtherefore, in no wise resembles the multiple foci of acute glanders jnor was there any lymphangitis, as in the more chronic farcy. The two remaining conditions, then, are malignant pustule (trueanthrax, carbuncle, charbon, woolsorters disease) and noma, variouslycalled ulcerative stomatitis, gangrenous stomatitis, cancrum oris, can-cer aquaticus, etc. Just here let me quote from Senns Principles of Surgery,.so as tomake clear our ideas of the anthrax. He says: Malignant car-buncle or malignan
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