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
Rest, relative or absolute, depending upon the severity of the case, and
an unstimulating diet; internally intestinal antiseptics, quinin and
saline laxatives, and locally applications of lead-water and laudanum.
#Erythema Induratum.#
(_Synonym:_ Erythema induratum scrofulosorum.)
#What do you understand by erythema induratum?#
A rare disease characterized in the beginning by one or more usually
deep-seated nodules, and, as a rule, seated in the legs, especially the
calf region. The nodules gradually enlarge, the skin becomes reddish,
violaceous or livid in color. Absorption may take place slowly, or the
indurations may break down, resulting in an indolent, rather deep-seated
ulcer, closely resembling a gummatous ulcer. The disease is slow and
persistent, and is commonly met with in girls and young women, usually
of strumous type. It suggests a tuberculous origin.
Treatment consists in administration of cod-liver oil, phosphorus and
other tonics. Rest is of service. Locally antiseptic applications, and
support with roller bandage are to be advised.
#Urticaria.#
(_Synonyms:_ Hives; Nettlerash.)
#Give a definition of urticaria.#
Urticaria is an inflammatory affection characterized by evanescent
whitish, pinkish or reddish elevations, or wheals, variable as to size
and shape, and attended by itching, stinging or pricking sensations.
#Describe the symptoms of urticaria.#
The eruption, erythematous in character and consisting of isolated pea
or bean-sized elevations or of linear streaks or irregular patches,
limited or more or less general, and usually intensely itchy, makes its
appearance suddenly, with or without symptoms of preceding gastric
derangement. The lesions are soft or firm, reddish or pinkish-white,
with the peripheral portion of a bright red color, and are fugacious in
character, disappearing and reappearing in the most capricious manner.
In many cases simply drawing the finger over the skin will bring out
irregular and linear wheals. In exceptional cases this peculiar property
is so pronounced and constant that at any time letters and other symbols
may be produced at will, even when such subjects are free from the
ordinary urticarial lesions (_urticaria factitia_, _dermatographism_,
_autographism_).
The mucous membrane of the mouth and throat may also be the seat of
wheals and urticarial swellings.
#What is the ordinary course of urticaria?#
Acute. The disease is usually at an end in several hours or days.
#Does urticaria always pursue an acute course?#
No. In exceptional instances the disease is chronic, in the sense that
new lesions continue to appear and disappear irregularly from time to
time for months or several years, the skin rarely being entirely free
(_chronic urticaria_).
[Illustration: Fig. 12.
Dermatographism. (_After C.N. Davis._)]
#Are subjective symptoms always present in urticaria?#
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