IN the summer of 1879, a young gentleman, living as a neighbor in the country, while discharging some piece of fireworks, blew his face full of specks of partly burnt powder. I was called by the father to remove this disfigurement, which was very considerable. I attempted, while the wounds were yet fresh, by scraping and gouging with various instruments, and washing away the more superficial specks to remove the cause of trouble, but with very imperfect success. A number of sittings were held; the patient constantly becoming more restive and dissatisfied; although the intensity of color in most of the places could be diminished by the methods I employed, yet the healing of the little specks left the cicatrix of a blue tint, which in few, if any, of the affected areas could be entirely removed. One of these sittings took place under an anæsthetic.
Finding at last, when
KEYES EL. THE CUTANEOUS PUNCH.1. Arch Dermatol. 1982;118(11):940-942. doi:10.1001/archderm.1982.01650230068033