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the strong mercurial solution. New children coming into the institution often get the disease in an average time of six weeks from admission. Half these chil- dren are girls, and none of them generic viagra release has previously had the disease. Dr. C. W. Allen asked if clippers were used, and if the girls had the hair cut. The speaker said the girls do not have the hair cut except when coming in with generic viagra release the disease. Dr. Wolff said his cases are all boys, although all the children, boys and girls, have the hair cut he thought natural viagra usa with clippers, but he was not sure of this. Dr. Schwarz said the exchange of caps was ac- countable for much of the spread. Gifts of second- hand articles of headwear are sometimes made to children's charity institutions. These should not be made use of before they have been thoroughly steri- lized. Special Dermatitis from Crab Bites was the title of a paper read by Dr. Gilchrist, of Baltimore, based upon one hundred and fifty-six observations made at the Johns Hopkins University. The condition oc- curs in those whose occupations force them to han- dle live crabs. A slight abrasion of the skin is first noticed, usually upon the finger, from which the patch starts and travels up and clown the fingers and spreads out over the palm and back of the hand. The margin becomes raised, red, and is particularly well defined. There is natural viagra usa no pain on pressure, and it never goes on to suppuration. There is acute inflammation of the co- rium and thickening of the epidermis. Scratches from the crab shell as well as the bite natural viagra usa will occasion the affection. A ferment is supposed to be the cause, since all culture experiments are negative and micro- scopic examinations show an absence generic viagra release of micro-organ- isms. Treatment is carried out by means of bichlo- ride soakings and carbolic injection, or the application of the German salicylic cutaneous plaster of about twenty-five per cent, strength. The latter is found to offer the best method of treatment, one application of natural viagra usa the plaster usually sufficing. Plain adhesive plaster was tried in some instances generic viagra release and found efficacious. In discussirg this paper Dr. Allen, of New York, suggested that the same condition probably exists in these cases which has been described by Rosenbach un- der the name of erysipeloid. The speaker has seen this same creeping erythema involving the fingers and hand, in fishermen among others. His most recent case was 7*4 MEDICAL RECORD. [May 30, 1896 in a woman who had been engaged in preparing lob- ster generic viagra release and fish shortly before the attack. He has ob- tained excellent results from ichthyol solutions and ichthyol in collodion. Dr. Bulkley, of New York, agreed with the ' last speaker that the cases probably all belong together. He has seen the same condition result from handling meat. It is in no sense erysipelas. Dr. Gilchrist said he has been unable to find any reference to the condition he described in any of the text-books on dermatology. The cases have become so frequent at the out-door department of the hospital that all now made the diagnosis of crab dermatitis at a glance. He thought it worthy of a distinctive designation, but had no doubt Dr. Allen is correct in classifying it with the condition already described in Germany. A Case of Acute generic viagra release Circumscribed (Edema of Gouty Origin was reported by Dr. Bernard generic viagra release Wolff, of At- lanta, Ga. CEdema of the acute circumscribed natural viagra usa variety must not be confounded with that of menstrual, natural viagra usa ma- larial, and arthritic origin, as Quincke has pointed out. As to causation, it cannot be differentiated from these three types. Osier says the disease may be he- reditary. Alimentary irritants have been given as the cause in some instances. There is a close affinity to urticaria. There would seem to be a greatly increased permeability of the vessel walls. Spasm of the mus- cular coats of the veins, a theory advanced by Unna, is not accepted by Quincke in explanation of urti- caria, the giant form of which this disease closely re- sembles. If gout be regarded as a toxaemia, why can- not such a condition so lower the vitality of the vessel walls in a reflex manner as to diminish their power cf resistance to the passage through them of the ele- ments of the circulating fluid ? ( >r, again, may not the toxic principle, having itself passed into the tissues, attract to it a special exudate? A case is reported of a lady of fifty-six, of good family history, but natural viagra usa for fif- teen years the subject of gout, the last joints of the fingers being distorted by gouty deposits. Six years ago, while sitting at an open window, the patient sud- denly experienced a stiffness and rigidity of the left half of the upper lip, accompanied by tingling and numbness. There was no extension of the swelling. Coincidentally the joints became red and painful. After a few hours the attack disappeared, but recurred at intervals of four or five months for two years. The cedema was of board-like hardness. The attacks are now less frequent. The similarity of cause in both affections and the attacks being synchronous made the writer believe that there was a relationship. Further Observation on Urticaria was the title of a paper read by Dr. T. ('. Gilchrist, of Baltimore, Md. The author referred to his statement at the last meeting of the association that he had excised portions generic viagra release of wheals produced artificially at exact pe- riods of time, viz., generic viagra release two, live, eight, ten, fifteen, twenty- five, forty, and sixty minutes, and the results showed the complete pathology of the urticaria wheal. After fifteen minutes a 1 plete picture cf acute inflamma-