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December 9, 1939

Die Behandlung von Hauttuberkulösen an der Giessener Lupusheilstätte 1937/38

JAMA. 1939;113(24):2178. doi:10.1001/jama.1939.02800490073040

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In this monograph the author reports his experiences in the treatment of 536 cases of cutaneous tuberculosis, chiefly lupus. The advantages of grenz ray therapy over x-rays are stressed even though the cosmetic results were not always satisfactory. From three to five doses of 4,000 roentgens per field with 9 kilovolts, 20 milliamperes, were found to give the best results. In most cases this treatment was preceded by operative removal of the lupus foci with the electric cutting current, a wire loop being used to remove the entire area with a margin of healthy skin. The treatment is painful and requires local anesthesia and careful after-treatment. Contact therapy with ultraviolet radiation from a water-cooled quartz mercury vapor arc lamp either alone or preceded by electrical ablation is used in lupus in children and in cases that had been previously treated with roentgen rays or radium. Old tuberculin (Koch) is used

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