The patient
had been delirious during this period. The cuticle began to shed
some time between the third and twelfth day, in large sheets, as
pictured in the accompanying illustrations. The nails were shed
in about four weeks after the acute stage. Crocker had an
instance of this nature in a man with tylosis palmae, in which
the skin was cast off every autumn, but the process lasted two
months. Lang observed a case in which the fingers alone were
affected.
There is a case of general and habitual desquamation of the skin
in the Ephemerides of 1686; and Newell records a case which
recovered under the use of Cheltenham water for several seasons.
Latham describes a man of fifty who was first seized about ten
years previously with a singular kind of fever, and this returned
many times afterward, even twice in the course of the same year,
attended with the same symptoms and circumstances, and appearing
to be brought on by obstructed perspiration, in consequence of
catching cold. Besides the common febrile symptoms, upon the
invasion of the disease his skin universally itched, more
especially at the joints, and the itching was followed by many
little red spots, with a small degree of swelling.
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