Text Appearing Before Image: Fig. 209C.—Photograph taken April 1, 1909. The ulcer on the ring finger grew since Jan. 1909. Text Appearing After Image: Fig. 209D.—Photograph taken Sept. 21,1909; shows the amputation of two fingers, performed byDr. W. W. Keen, April 6,1909. The wound was perfectly healed May 6, 1909. Since then the wartygrowth ou the right hand was removed, and both hands at the present time (January 1910) showmarked improvement. ACTION OF THE RONTGEN RAYS. 401 Kienbock^ classifies X-ray burns as follows : Those of the first degree, which appear from twelve to sixteen or more days afterexposure. The hair loosens, falls out, and leaves the skin smooth, bald, and occa-sionally pigmented. Those of the second degree, where the exposure has been more intense andappears after a briefer interval than in burns of the first degree. There is localizedor general swelling. The hypen^mia, at first light, later assumes a darker color.There is marked irritation. These symptoms are followed by loss of hair, and bymarked cutaneous pigmentation with subsequent scaling ; the skin is smooth and sen-sitive, of a delicate hue, and devoid
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