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Archives a Century Ago
November 2007

Book Review

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Copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2007

Arch Dermatol. 2007;143(11):1366. doi:10.1001/archderm.143.11.1366

Mittheilungen aus der Wiener Heilstätte für Lupuskranke, herausgegeben von PROF. DR. EDUARD LANG. Erste Folge. Mit 38 Abbildungen. Wien, 1907. Kommissionsverlag von Josef Safar.

This pamphlet contains several short papers describing a hanging apparatus for various therapeutic purposes, and some newer improvements in the technical application of the Finsen light by A. Jungmann, also a report on some experiments made on animals to show the effects of the X-rays on the ovaries during pregnancy. The principal part is taken up by Dr. Jungmann's report on the working of the Vienna Institute for the treatment of patients affected with lupus, during the year 1905. Among 694 patients treated there were 460 cases of lupus and 234 of chronic skin diseases. They were partly treated by operation after the method used so successfully by Prof. Lang (52). With the Finsen light 160 were treated, among them 146 affected with lupus, and 12 cases of lupus erythematosus; 82 were treated with X-rays and 28 with applications of radium. The results of the operations were as satisfactory as in other series published before; the Finsen treatment has given very different results: 20 practically cured, 32 very much improved, 18 improved, in some the treatment could not be continued long enough and in small number it was entirely unsuccessful. Patients with severe complications in the lungs or the larynx, or with affections of the glands, ought not to be subjected to the long-continued Finsen treatment, because the lupus is the least important part of their troubles; glandular swellings ought to be treated first with X-rays, which have a much more powerful influence on the same, also very severe and very extensive lesions in which, at best, only improvement can be expected. Often local treatment has to precede the Finsen treatment. Careful attention is given to the indications for operation and for the combination of operations with the Finsen light or other methods. Lupus erythematosus gave satisfactory results in some cases, but in others proved as ineffective as other methods. The X-rays are of value in some conditions preparatory to the light-treatment, partly favorable in some hypertrophic forms, but only in few cases is a practical cure obtained. With radium no definite results have so far been obtained. Short histories of all the cases and numerous illustrations showing the conditions before and after treatment accompany the report.—H. G. K.

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