For several months a woman had suffered from an
ulcer of the middle finger of the right hand, in consequence of a
whitlow; there was loss of the 3d phalanx, and the whole of the
articular surface and part of the compact bony structure of the
2d. On examining the sore, Ormangey saw a bony sequestrum which
appeared to keep it open. He extracted this, and, until
cicatrization was complete, he dressed the stump with saturnine
cerate. Some months afterward Ormangey saw with astonishment that
the nail had been reproduced; instead of following the ordinary
direction, however, it lay directly over the face of the stump,
growing from the back toward the palmer aspect of the stump
digit, as if to cover and protect the stump. Blandin has observed
a case of the same description. A third occurred at the Hopital
de la Charite, in a woman, who, in consequence of a whitlow, had
lost the whole of the 3d phalanx of one of the forefingers. The
soft and fleshy cushion which here covered the 2d phalanx was
terminated by a small, blackish nail, like a grain of spur rye.
It is probable that in these cases the soft parts of the 3d
phalanx, and especially the ungual matrix, had not been wholly
destroyed. In his lectures Chevalier speaks of analogous cases.
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