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 sole symptom is an unnatural oiliness, variable as to degree. Its
most common sites are the regions of the scalp, nose, and forehead. In
many instances mild rosacea coexists with oily seborrh[oe]a of the nose.
#Give the symptoms of seborrh[oe]a sicca.#
A variable degree of greasy scalines, which may be seated upon a pale,
hyperaemic or mildly inflammatory surface.
The parts affected are covered scantily or more or less abundantly with
somewhat greasy, grayish, or brownish-gray scales. If upon the scalp
(_dandruff_, _pityriasis capitis_), small particles of scales are found
scattered through the hair, and when the latter is brushed or combed,
fall over the shoulders. If upon the face, in addition to the scaliness,
the sebaceous ducts are usually seen to be enlarged and filled with
sebaceous matter.
#Describe the symptoms of the ordinary or mixed type.#
It is common upon the scalp. The skin is covered with irregularly
diffused, greasy, grayish or brownish scales and crusts, in some cases
moderate in quantity, in others so great that large irregular masses are
formed, pasting the hair to the scalp. If removed, the scales and crusts
rapidly re-form. The skin beneath is found slate-colored, hyperaemic or
mildly inflammatory, and exceptionally it has in places an eczematous
aspect (_eczema seborrhoicum_). Extraneous matter, such as dust and
dirt, collects upon the parts, and the whole mass may become more or
less offensive. There is a strong tendency to falling-out of the hair.
Itching may or may not be present.
[Illustration: Seborrh[oe]a (Eczema Seborrhoicum).]
#Describe the symptoms of seborrh[oe]a of the trunk and other parts.#
[Illustration: Fig. 7.
A normal sebaceous gland in connection with a lanugo hair.
(_After Neumann._)
_a_, Capsule; _b_, fatty secretion; _c_, _h_, secreting cells; _d_, root
of lanugo hair; _e_, hair-sac; _f_, hair-shaft; _g_, acini of sebaceous
gland.]
Seborrh[oe]a corporis differs in a measure, in its symptoms, from
seborrh[oe]a of the scalp and is usually illustrative of the variety
known as eczema seborrhoicum; it occurs as one or several irregular or
circinate, slightly hyperaemic or moderately inflammatory patches,
covered with dirty or grayish-looking greasy scales or crusts, usually
moderate in quantity, and upon removal are found to have projections
into the sebaceous ducts. It is commonly seen upon the sternal and
interscapular regions. It rarely exists independently in these regions,
being usually associated with and following the disease on the scalp. It
may also invade the axillae, genitocrural, and other regions.
#What is the usual course of seborrh[oe]a?#
Essentially chronic, the disease varying in intensity from time to time.
In occasional instances it disappears spontaneously.
#Give the cause or causes of seborrh[oe]a.#
General debility, anaemia, chlorosis, dyspepsia, and similar conditions
are to be variously looked upon as predisposing.
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