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
In some instances it is probably due to the elimination of the drug
through the cutaneous structures; in others, to the action of the
drug upon the nervous system. The view that the drug acts as a toxin or
generates some toxin or irritant material in the blood, to which the
eruptive phenomena may be due, has also been advanced.
[Illustration: Dermatitis medicamentosa.
Bullous dermatitis from iodide of potassium.]
#What is the character of the eruption in dermatitis medicamentosa?#
It may be erythematous, papular, urticarial, vesicular, pustular or
bullous, and, if the administration of the drug is continued, even
gangrenous.
#Name the more common drugs having such action.#
Antipyrin, arsenic, atropia (or belladonna), bromides, chloral, copaiba,
cubebs, digitalis, iodides, mercury, opium (or morphia), quinine,
salicylic acid, stramonium, acetanilid, sulphonal, phenacetin,
turpentine, many of the new coal-tar derivatives, etc.
#State frequency and types of eruption due to the ingestion of antipyrin.#
Not uncommon. _Erythematous_, morbilliform and erythemato-papular;
itching is usually present and moderate desquamation may follow.
Acetanilid, sulphonal, phenacetin, and other drugs of this class may
provoke like eruptions.
#Mention frequency and types of eruption due to the ingestion of arsenic.#
Rare. Erythematous, erythemato-papular; exceptionally, herpetic, and
pigmentary. Herpes zoster has been thought to follow its use. Keratosis
of the palms and soles has also been occasionally observed, which, in
rare instances, has developed into epithelioma.
#Mention frequency and types of eruption due to the ingestion of atropia
(or belladonna).#
Not uncommon. _Erythematous_ and _scarlatinoid_; usually no febrile
disturbance, and desquamation seldom follows.
#Give frequency and types of cutaneous disturbance following the
administration of the bromides (bromine).#
Common. _Pustular_, sometimes furuncular and carbuncular and
superficially ulcerative. In exceptional instances papillomatous or
vegetating lesions have been observed. Co-administration of arsenic or
potassium bitartrate is thought to have a preventive influence in some
cases.
#State frequency and types of cutaneous disturbance due to the
administration of chloral.#
Occasional. Scarlatinoid and urticarial, and exceptionally purpuric; in
rare instances, if drug is continued, eruption becomes vesicular,
hemorrhagic, ulcerative and even gangrenous.
#State frequency and types of eruption following the administration of
copaiba.#
Not uncommon. _Urticarial_, erythemato-papular and _scarlatinoid_.
#Mention frequency and types of eruption resulting from the ingestion of
cubebs.#
Uncommon. Erythematous and small papular.
[Illustration: Fig. 14.
A somewhat rare form of eruption from the ingestion of iodine compounds.
(_After J.C. McGuire._)]
#Mention frequency and types of eruption resulting from the
administration of digitalis.#
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