APPENDIX: REPORT OF THE CHEMICO-PHYSICAL LABORATORY
Authors: W. L. S. Alton
Journal: BMJ (1913)

TMEE JRITISA If the movements coulld be accomplished with ease.She stated that she was able to button her boots, which had been im- possible for the last ten years.She slept wvell every night, and was able to lie in any position without discomfort.The patient was seen again in November, 1912, and was quite well.A rthrl}itis Deformyans.In Case No. 5,194, M., aged 54, the disease was of eighteen months' duration; it had commenced iu January, 1911, with severe synovitis of the left knee which left the joint swollen.All movements of the knee became painful and were accompanied by coarse grating.Wasting of the left thigh muscles was very marked.The left hip became affected in February, 1912.The ]atient had tried all forms of me(licinal treatment, electric and hot air baths, but witlhout much effect.Treatment was commenced onl May 14th, 1912, and the patient ,drank 250 c.cm. of radium emanation solution of a strength of 6 millicuries per litre daily, Sundays excepted, until July 26th, 1912.He was examined on September 3rd.There was then scarcely aniy restriction of movement at the left knee and hip, and all movements could be accomplished-without pain.The wasting of the thigh muscles was no longer so pronounced, and the muscular tone was greatly improved.The patienit stated that he was able to walk for three or four miles at a time without experiencing any discomfort.This improvement has been steadily maintained.GRANULOMATA.Grandwuloa of Blridge of Nose.The patient (Case No. 185) M., aged 16, struck his nose against a lamp-post on January 21st, 1912, splitting his skin in a vertical direction.The wound was sutured, but did not heal, and pus formed.It was then treated by fomentations, etc., and the split closed, but left a very marked thickening, which resisted all attempts to bring about its absorption.The thicken- ing was confined entirely to the epidermis anld subjacent con- nective tissue, and did not involve the periosteum.It was not tender, and only slightly painftul on pressure, but occasioned the patient much annoyance byits unsightliness, as it.gavehim a Roman nose of an extremely proniounced type.He was first seen on April 3rd, 1912, and received two treat- ments,.each of six hours' duration, on April 4th anld April 11th.with applicators of half strength, screened with 2 mm. of lead.The mother of thepatient wrote on June 3rd, 1912, saying that he had returned to school, that hiis nose was perfectly 'well, and there was no longer any distortion of its shape.PAPILLOMIATA.WTarty Growth.The patient (Case No. 240), F., agled 30, was first seen on June 5th, 1912.A small, flat, warty growtlh was found on the dorsal surface of the metatarso-phalangeal joint of the left great toe, 1 cm. in diameter, surrounded by a zone of marked hyperaemia.It was of six months' duration, and had steadily grown in spite of all kinds of treatment.It was very tender on pressure and acutely painful.The patient could not wear a boot, walked with great difficulty, and was taking morphine in order to get sleep at night.She was given one treatment with a full-strength applicator unscreened for one hour on June 5th, 1912.She reported.herself on July 8th, when the growth was found to have com- pletely disappeared.The patient was wearing a boot, an(d could walk perfectly well.All pain had gone.