Abstract

PHOTOTHERAPY, or the treatment of disease by light, has now, thanks to Prof. Finsen of Copenhagen, a recognised place in the domain of therapeutics. Finsen's first paper on the subject was published in 1893. In it he showed that the chemical or ultra-violet rays of the spectrum have a definite effect upon the course of small-pox, and he proposed that patients suffering from this disease should be kept in rooms from which the chemical rays of light were excluded by means of red curtains or red glass, in the same way that a photographer excludes these rays from his plates and paper. In an ordinary case of smallpox treated under the usual conditions, the eruption passes from the vesicular to the suppurative or pus-forming stage, and this condition is most marked upon the face and hands, the parts most exposed to light. It is in consequence of the destruction of the skin attendant upon the suppuration that the face and hands are so commonly the seat of hideous scars. Finsen's suggestion has been carried out with considerable success. In nearly every case in which the patient was kept in red light from the onset of the disease, there has been found to be a marked change in the course of the eruption. The suppuration and its attendant secondary fever have been almost, if not entirely, abolished, and as a result the patients recover with little, if any, scarring.

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