Identifier: practicalpodiatr00jose (find matches)
Title: Practical podiatry :
Year: 1918 (1910s)
Authors: Joseph, Alfred
Subjects: Podiatry Podiatry Podiatry X-rays
Publisher: New York : First Institute of Podiatry
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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ar-let to a deep purple and the lesions blend gradually withthe surroimding normal tissue. The part feels cold andclammy to the touch, this being a characteristic symptom inspite of the heightened red color. The blood present in the CHIMATLON 287 parts is sluggish so tliat its temperature is below normal.Chilblains of the metatarsophalangeal joint of the greatand fifth toes may be mistaken for bursitis. The chiefdiiference between the two conditions is found in the historyof the case,which in chil-blains shows ex-posure, while inbursitis the le-sion is usuallyaccompanied byhallux valgus.The usual sitesof chimatlonmild of the footare the heel, thetips of the toes,the great and lit-tle toe jointsand the webs be-tween the toes.The pains ofchilblains aretransient and ofa shooting vari-ety, and arepresent with theshoe on or off,while those ofbursitis are con-stant and dull,and are presentonly when theshoe is worn.Where inflam-matory proc-esses have con- chimatlon mild feom the jacobi atlas
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288 PODIATRY tintied so that the deep tissue are involved, the pains are ofa throbbing nature in both lesions, so that other symptomsmust be observed to determine upon a proper diagnosis. Chimatlon Mild Bursitis History of exposure No history of exposure Hallux valgus not usually Hallux valgus usually pres- present ent Pains of shooting variety Pains dull and steady Pains present at all times Pains absent with shoes off Intense itching No itching The lesions of chimatlon are irregular in shape and mayinvolve the entire fore foot, including both the dorsal andthe plantar surfaces. The heel over the tendo Achillis, aswell as the skin on the sole and lateral surfaces over the osealcis, are common sites of chilblains. These lesions areusually deeply colored, the redness gradually diminishingas the periphery is reached. The blebs which have formed, may exude serum or evenpus, and these lesions may be easily differentiated from theblebs of pompholyx and eczema by carefully noting thehistory

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