S. G., Mexican, aged 78, has always been a man of temperate habits, no history of venereal disease, enjoyed good health and was exceptionally robust until 56 years of age, at which time his right foot became gangrenous without any apparent cause. Dr. W. R. Tipton of Las Vegas, to whom the case was referred at that time, August, 1877, has kindly given me the following notes from his records: "The disease began with pain in the sole of the foot, the toes became cold and assumed a purplish color; finally they became somewhat edematous and a spreading gangrene developed; amputated through the calf of the leg, and the gangrene appearing in both flaps, did a subsequent operation at the upper third of the thigh, which was entirely successful."
After this operation the patient's health remained good for twenty-three years. On February 1, however, he noticed some numbness in the
ROLLS JA. A CASE OF SENILE GANGRENE. JAMA. 1901;XXXVII(20):1319. doi:10.1001/jama.1901.62470460033002
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