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 etiology is obscure. The disease rarely occurs before puberty. It is
most common in tropical countries, more especially among the poor and
neglected. It is not hereditary, nor can it be said to be contagious.
Inflammation and obstruction of the lymphatics, probably due, according
to late investigations, to the presence of large numbers of filaria
(microscopic thread-worms) in the lymph channels and bloodvessels, is to
be looked upon as the immediate cause.
#What is the pathology?#
All parts of the skin and subcutaneous connective-tissue are
hypertrophied, the lymphatic glands are swollen, the lymph channels and
bloodvessels enlarged, and there is more or less inflammation, with
[oe]dema. Secondarily, from pressure, atrophy and destruction of the
skin-glands, and atrophic degeneration of the fat and muscles result.
#What are the diagnostic characters of beginning elephantiasis?#
Recurrent erysipelatous inflammation, attended with gradual enlargement
of the parts.
The appearances, later in the course of the disease, are so
characteristic that a mistake is scarcely possible.
#Give the prognosis of elephantiasis.#
If the case comes under treatment in the first months of its
development, the process may probably be checked or held in abeyance;
when well established, rarely more than palliation is possible.
#What is the treatment of elephantiasis?#
The inflammatory attacks are to be treated on general principles.
Quinia, potassium iodide, iron and other tonics are occasionally useful;
and, especially in the earlier stages, climatic change is often of
value. Between the inflammatory attacks the parts are to be rubbed with
an ointment of iodine or mercury, together with galvanization of the
involved part.
In elephantiasis of the leg, a roller or rubber bandage, or the gum
stocking, is to be worn; compression and ligation of the main artery,
and even excision of the sciatic nerve, have all been employed, with
more or less diminution in size as a result. In elephantiasis of the
genitalia, if the disease is well advanced, excision or amputation of
the parts is to be practised.
Eczematous inflammation, if present, is to be treated with the ordinary
remedies.
#Dermatolysis.#
(_Synonym:_ Cutis Pendula.)
#Give a descriptive definition of dermatolysis.#
Dermatolysis is a rare disease, consisting of hypertrophy and looseness
of the skin and subcutaneous connective tissue, with a tendency to hang
in folds.
#Describe the symptoms and course of dermatolysis.#
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