February 2d, two days later, spots more numerous and average somewhat larger. They retain the same general characters as a whole, but some spots, in addition to the livid discoloration, begin to show a hemorrhagic centre, these hemorrhages tending, in the smaller spots, to assume a cruciform shape, in the larger a reticulated appearance, the meshes showing tissue of the same livid character as the rest of the patch. Patches still non elevated, seated on infiltrated bases, very sore to the touch. One large spot, possibly two and one-half inches in diameter, on left forearm just below the bend of the elbow, showing all of these characteristics especially well marked, the criss-cross lines of hemorrhage having a width of perhaps one-twentieth of an inch. Uvula, soft palate, pharynx, tonsil, etc., all show similar hemorrhages beneath the mucous membrane. Digestive functions fairly well performed. Still weak, languid, and unwilling to move, but talked quite cheerfully when seen. Joint-pains so marked that she needed help in displaying the eruption.
J Cutan Genito-Urin Dis.
July 1891;9:241-245.