That comparatively rare affections come to our notice when least expected we all have learned from experience, and it is certainly one of the last of improbable cases that I should have imagined to present itself to me, the more so, as I am not engaged in general practice.
Nevertheless, on Dec. 8th, a patient who has been under my care more or less for the last three years, on account of his pulmonary affection, called upon me with the following statement: on noon of the day before, he noticed a spot on the inner aspect of the first phalanx of the fore-finger of his left hand, looking like a flea bite, which attracted his attention on account of severe itching; by evening a vesicle had formed surrounded by a red areola, and a burning, stinging sensation was also present; the finger and surrounding parts had become slightly swollen.
VON RUCK K. A CASE OF MALIGNANT PUSTULE.Reported to the Bunscombe Co. Medical Society, Feb. 1, 1892. JAMA. 1892;XVIII(10):286–287. doi:10.1001/jama.1892.02411140008001c
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