Elements of pathological anatomy . e; yet the circumstance is certainly a • Domestic Encyclopedia, vol. ii., p. 52, and vol. iii. p. T. iii, p. 327, quatrieme diition, Paris, 1837. * T. xxxviii,10 74 GANGRENE. curious one, ., and will no doubt reeeire further attention. The lesion may besaid to be owing to the great and rapid reduction of the powers of life, givingrise to inflammation of the capillaries; but, if this be true, how happens it thatall cases of general debility are not followed by gangrene? The parts areplaced in the same relation as one deprived of its nervous supply. Close
Elements of pathological anatomy . e; yet the circumstance is certainly a • Domestic Encyclopedia, vol. ii., p. 52, and vol. iii. p. T. iii, p. 327, quatrieme diition, Paris, 1837. * T. xxxviii,10 74 GANGRENE. curious one, ., and will no doubt reeeire further attention. The lesion may besaid to be owing to the great and rapid reduction of the powers of life, givingrise to inflammation of the capillaries; but, if this be true, how happens it thatall cases of general debility are not followed by gangrene? The parts areplaced in the same relation as one deprived of its nervous supply. Closely allied to the diseaseFig. 15. now described is that affec- tion which was so well por-trayed by the celebrated Pott, ofEngland, under the name of mor-tification of the toes and feet.(Fig. 15.) Ashas been justly re-markedby this greatsurgeon thelesion is most common in agedpersons, though the young areby no means exempt from subjoined table, compiledF. Hecker, of Stuttgart,* exhibits the age in sixty-seven cases of this. by Dr. F. disease. 167911219381 67 between 110 2030405060708090 and 102030405060708090100 years The progress of senile gangrene is generally slow and insidious, commencingsometimes without the slightest pain, uneasiness, or swelling. The lower ex-tremities, especially the feet and legs, are the parts of the body which aremost frequently involved in this destructive process. The hands and arms mayalso suffer; it is but rarely that the nose, ears, lips, cheeks, and trunk are im-plicated. When the disease affects the lower limb, it generally makes its firstappearance on the inside of one of the smaller toes by a circumscribed bluishspot, which is more or less painful, and is soon followed by a separation of thecuticle, leaving the skin beneath of a dark red color. In some instances thegangrene begins at a number of points at once, and when this is the case itis usually more rapid in its march, as well as accompanied with more urgentsymptoms. In its prog
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