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
By applications of the milder parasiticides, such as a ten to fifteen
per cent. solution of sodium hyposulphite; carbolic acid, five to thirty
grains to the ounce of water, or lard; a saturated solution of boric
acid; ointments of tar, sulphur and mercury, official strength or
weakened with lard; and tincture of iodine, pure or diluted.
When occurring upon the upper and inner part of the thighs (so-called
eczema marginatum), the same remedies are to be employed, but usually
stronger. Deserving of special mention is a lotion of corrosive
sublimate, one to four grains to the ounce; or the same remedy, in the
same proportion, may be used in tincture of myrrh or benzoin, and
painted on the parts.
#How would you treat ringworm of the scalp?#
By occasional soap-and-hot-water washing; by extraction of the involved
hairs, when practicable; by carbolic acid or boric acid lotions to the
whole scalp, so as to limit, as much as possible, the spread of the
disease; and by daily (or twice daily) applications to the patches and
involved areas of a parasiticide. The following are the most valuable:
the oleate of mercury, with lard or lanolin, in varying strength, from
ten to twenty per cent.; carbolic acid, with one to three or more parts
of glycerine or oil; corrosive sublimate, in solution in alcohol and
water, one to four grains to the ounce; sulphur ointment; and citrine
ointment, with one or two parts of lard. Chrysarobin is a valuable
remedy, but is to be employed with care; it may be prescribed as a
rubber plaster, or in a solution of gutta-percha, or as an ointment, ten
to fifteen per cent. strength. [beta]-naphthol in ointment form, five
to fifteen per cent. strength, is also useful. An excellent application
for beginning areas on the scalp is a solution of the red iodide of
mercury in iodine tincture, one to three grains to an ounce.
A compound ointment, containing several of the active remedies named, is
convenient for dispensary practice, such as:--
[Rx] [beta]-naphthol, ................. [dram]ss-[dram]j
Ol. cadini, ......................... [dram]j
Ungt. sulphuris, ............ q.s. ad [Oz]j. M.
In that form known as tinea kerion mild applications are demanded at
first; later the same treatment as in the ordinary type.
#How is ringworm of the bearded region to be treated?#
On the same general plan and with the same remedies (excepting
chrysarobin) as in ringworm of the scalp. Depilation is to be practised
as an essential part of the treatment. Special mention may be made of an
ointment of oleate of mercury, sulphur ointment, a lotion of sodium
hyposulphite ([dram]j-[Oz]j), and a lotion of corrosive sublimate (gr.
j-iv to [Oz]j). The _x_-ray has been used in ringworm of this region
with alleged success, pushing it to the production of a mild erythema
and depilation. The above methods are, however, usually successful, and
are without risk of damage.
Public-domain text, read in full here on John Shaqi.
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