. American X-ray journal . ropine changes remained the samebut the hypertrophic changes had dimin-ished. The skin was more tolerant of allforms of actinic rays. The vaselin andstarch dressing was still employed atnight, but the wearing of gloves duringthe daytime was no longer necessary. In the primary attack the right handwas less severely affected than the extended up both arms intothe axilla. I suffered with malaise, dailychill and fever (mild), headache, sorethroat (mild), nausea and vomiting (oneattack, quite severe), vertigo (mild), andone attack of dyspnea (severe, but s
. American X-ray journal . ropine changes remained the samebut the hypertrophic changes had dimin-ished. The skin was more tolerant of allforms of actinic rays. The vaselin andstarch dressing was still employed atnight, but the wearing of gloves duringthe daytime was no longer necessary. In the primary attack the right handwas less severely affected than the extended up both arms intothe axilla. I suffered with malaise, dailychill and fever (mild), headache, sorethroat (mild), nausea and vomiting (oneattack, quite severe), vertigo (mild), andone attack of dyspnea (severe, but short),probably from cardiac impairment offunction. There was a fine rash like thatof typhoid fever scattered over the entirebody. Whether an attack of erysipelas, sus-tained in both hands about twelve yearsprevious, predisposed me to x-ray inflam-mation, modified its course or preventedcancerous sequela, I am unable to deter-mine; certain it is, the two diseases (x-raydermatitis and erysipelas) have manysymptoms in the dorsum. The integument exfoliatedmany times. The nail of the ring fingercame off, but was renewed. The nails ofall the digits, except the thumb, becamedeformed, brittle and deficient in theirusual luster. The shape of the hand waspermanently changed, the rugae of theskin, the ridges on the nails, the knucklesand palmar arch are more prominent thanthey were formerly. Yawning causedmuscular spasm of the fingers. Inflam-matory mounds with their white caps andcrater-like openings came and went in theusual dilatory manner. Five months after the onset of the at-tack the parts had healed, but were sosensitive to the Roentgen rays that a fif-teen seconds exposure about one yardfrom the tube in a strong, high tensionfield caused a secondary dermatitis. Theperiod of incubation, usually from one totwo weeks, was reduced to as many secondary dermatitis cleared up sev-eral large ugly patches of skin diseaseleft from the primary attack. This showsthat the x-l
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