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 disease is often rebellious, but in children and young adults the
prognosis is almost invariably favorable, permanent loss of hair being
uncommon. The same holds true, but to a much less extent, with the
disease as occurring in those of more advanced age. In extensive
cases--those in which the hair of the entire scalp finally entirely
disappears, and sometimes involves all hairy parts--the prognosis is
unfavorable. Only exceptionally does recovery ensue in such instances.
The uncertain duration, however, must be borne in mind; months, and in
some instances several years, may elapse before complete restoration of
hair takes place. Relapses are not uncommon.
#How is alopecia areata treated?#
By both constitutional and local measures, the former having in view the
invigoration of the nervous system, and the latter a stimulating and
parasiticidal action of the affected areas.
#Give the constitutional treatment.#
Arsenic is perhaps the most valuable remedy, while quinine, nux vomica,
pilocarpine, cod-liver oil and ferruginous tonics may, in suitable
cases, often be administered with benefit.
#Name several remedies or combinations employed in the external treatment
of alopecia areata.#
Ointments of tar and sulphur of varying strength; the various mercurial
ointments; the tar oils, either pure or with alcohol; stimulating
lotions, containing varying proportions, singly or in combination, of
tincture of capsicum, tincture of cantharides, aqua ammoniae, and oil of
turpentine. The following is a safe formula, especially in dispensary
and ignorant class practice:
[Rx] [beta]-naphthol, ..................... [dram]ss-[dram]j
Ol. cadini, .......................... [dram]j
Ungt. sulphuris, .......... q. s. ad ... [Oz]j M.
The cautious use of a five to twenty per cent. chrysarobin ointment is
of value. Painting the patches with pure carbolic acid or trikresol
every ten days or two weeks sometimes acts well; it should not be
applied over large areas nor used in young children. Galvanization or
faradization of the affected parts may also be employed, and with,
occasionally, beneficial effect. Stimulation with the high-frequency
current by means of the vacuum electrode is also of value. When
practicable, the Finsen light can be applied with hope of benefit and
cure.
#Atrophia Pilorum Propria.#
(_Synonym:_ Atrophy of the Hair.)
#What do you understand by atrophy of the hair?#
An atrophic, brittle, dry condition of the hair, and which may be either
symptomatic or idiopathic.
#Describe the several conditions met with.#
As a symptomatic affection, the dry, brittle condition of the hair met
with in seborrh[oe]a, in severe constitutional diseases, and in the
various vegetable parasitic affections, may be referred to.
Public-domain text, read in full here on John Shaqi.
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