Essentials of Diseases of the Skin: Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of MedicineStelwagon, Henry Weightman
Science
Essentials of Diseases of the Skin: Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of Medicine
Stelwagon, Henry Weightman
Skin -- Diseases
The peculiar appearance, the course and character of the patches, of
morph[oe]a are quite distinctive.
#Give the prognosis of scleroderma.#
It should always be guarded. In many instances recovery takes place,
whilst in others the disease is rebellious, lasting indefinitely. The
prognosis of the variety known as morph[oe]a is less unfavorable than
general scleroderma, and recovery more frequent.
#What is the treatment of scleroderma?#
Tonics, such as arsenic, quinia, nux vomica, and cod-liver oil;
conjointly with the local employment of stimulating, oily or fatty
applications, friction, and electricity. Roentgen-ray treatment is often
of value, more especially in the morph[oe]a type.
#Elephantiasis.#
(_Synonyms:_ Elephantiasis Arabum; Pachydermia; Barbadoes Leg; Elephant
Leg.)
#Give a descriptive definition of elephantiasis.#
Elephantiasis is a chronic hypertrophic disease of the skin and
subcutaneous tissue characterized by enlargement and deformity,
lymphangitis, swelling, [oe]dema, thickening, induration, pigmentation,
and more or less papillary growth.
[Illustration: Fig. 35. Elephantiasis of moderate development.]
#What parts are commonly involved in elephantiasis?#
Usually one or both legs; occasionally the genitalia; other parts are
seldom affected.
#Describe the symptoms of elephantiasis.#
The disease usually begins with recurrent (at intervals of months or
years) erysipelatous inflammation, with swelling, pain, heat, redness
and lymphangitis; after each attack the parts remain somewhat increased
in size, although at first not noticeably so. After months or one or two
years the enlargement or hypertrophy becomes conspicuous, the part is
chronically swollen, [oe]dematous and hard; the skin is thickened, the
normal lines and folds exaggerated, the papillae enlarged and prominent,
and with more or less fissuring and pigmentation.
#What is the further course of the disease?#
There is gradual increase in size, the parts in some instances reaching
enormous proportions; the skin becomes rough and warty, eczematous
inflammation is often superadded, and, sooner or later, ulcers,
superficial or deep, form--which, together with the crusting and
moderate scaliness, present a striking picture. There may be periods of
comparative inactivity, or, after reaching a certain development, the
disease may, for a time at least, remain stationary.
#Are there any subjective symptoms?#
A variable degree of pain is often noted, especially marked during the
inflammatory attacks. The general health is not involved.
#State the cause of elephantiasis.#
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