Dr. James Evans reports a case in a negro seventy-four years of
age, at Darlington, S.C. Dr. R. H. Days of Baton Rouge, La., had
a case in a negress, and Dr. J. L. Deslates, also of Louisiana,
reports four cases in St. James Parish. Pyle has seen a case in a
negress aged fifty years, at the Emergency Hospital in
Washington.
So prevalent is the disease in India that Crawford found a case
in every 2500 surgical cases at the Indian hospitals. The absence
of pain or inconvenience in many instances doubtless keeps the
number of cases reported few, and again we must take into
consideration the fact that the class of persons afflicted with
ainhum are seldom brought in contact with medical men.
The disease usually affects the 5th phalanx at the
interphalangeal joint. Cases of the 4th and other phalanges have
been reported. Cooper speaks of a young Brahman who lost his left
great toe by this process. Crombie speaks of a simultaneous
amputation of both fourth toes. Potoppidan reports a similar case
in a negress on St. Thomas Island. Sen reports a case in a
supernumerary digit in a child, whose father, a Hindoo, lost a
toe by ainhum. Eyles reports a case in a negro in whom the second
finger was affected.
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