File:The breast- its anomalies, its diseases, and their treatment (1917) (14570463298).jpg

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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hs after confinement, suffered from cracked nipples and abscesses of theleft breast. Alcohol was first used for the nipples, then at the advice of her physician applications ofphenol were made. She suffered from much pain. At the end of eight days the right nipple and areolabecame blackish and formed an eschar that exfoliated. The whole breast and a large part of the thoraxwere covered with an exematous dermatitis. The nipple and areola completely disappeared, leaving an 676 THE BREAST infundibuliform crater-shaped ulceration, with a granulating surface upon which milk incessantlyescaped from the milk ducts. Wessinger (International Journal of Surgery, N. Y., 1901, XIV, 122) observed a casein which the nipples sloughed away in the course of exceptionally severe and destructivemastitis, for which both breasts finally had to be amputated. No mention is made ofthe treatment employed in the early stages. A suspicion that the lesions were caused bythe gonococcus could not be substantiated.
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Fig. 275.—Pseudo-diphtheritic inflammation of the nipples and areolae. (Siter.) Odium thelitis or thrush of the nipple is occasionally seen. Such a case is reportedin the collection published by De Forst (American Journal of Obstetrics, 1910, LXI, 140). The patient was an Irish woman nursing her ninth child. In the fourth week she applied for relieffrom extensive fissures of the nipple and erosion of the breast adjacent to it. She stated that every morn-ing small snow-white spots were found on the raw epithelial surface, sometimes in the fissures, sometimesin the eroded area. Examination of these spots showed small masses of thrush fungi, which were easilybrushed off. The mucous membrane bled freely and gave great pain each time the child was put to thebreast. By the use of boric acid solution and applications of 8 per cent, solution of nitrate of silverto the fissures and eroded surfaces, supplemented by dry boric acid used as a dusting powder in theintervals of nursing, a cure was

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