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
_Salicin_, sodium salicylate, and salophen in moderately full doses act
well in some cases. Occasionally thyroid preparations have a good
effect.
_Potassium Iodide_, in doses of thirty to one hundred grains, t.d., acts
favorably in some instances; there are no special indications pointing
toward its selection, unless it be the existence of a gouty or rheumatic
diathesis.
Oil of copaiba, potassium acetate, oil of turpentine, oil of juniper,
and other diuretics are valuable in some instances, and, while often
failing, sometimes exert a rapid influence, especially in those cases in
which the disease is extensive and inflammatory. Wine of antimony, given
cautiously, is also sometimes of service in the acute inflammatory type
in robust subjects.
#Are such remedies as iron, quinine, nux vomica and cod-liver oil ever
useful in psoriasis?#
Yes. In debilitated subjects the administration of such remedies is at
times attended with improvement in the cutaneous eruption.
#What are the indications as regards the external measures?#
Removal of the scales, and the use of soothing or stimulating
applications, according to the individual case.
#How are the scales removed?#
In ordinary cases, either by warm, plain, or alkaline baths, or
hot-water-and-soap washings; in those cases in which the scaling is
abundant and adherent, washing with sapo viridis and hot water may be
required. Baths of sal ammoniac, two to six ounces to the bath are also
valuable in removing the scaliness. The tincture of green soap (tinctura
saponis viridis) is especially valuable for cleansing purposes in
psoriasis of the scalp. The hot vapor bath once or twice weekly is
serviceable in keeping the scaliness in abeyance, and has, moreover, in
some cases, a therapeutic value.
The frequency of the baths or washings will depend upon the rapidity
with which the scales are reproduced.
#Are soothing applications often demanded in psoriasis?#
In exceptional cases; in those in which the disease is acute, markedly
inflammatory and rapidly progressing, mild, soothing applications must
be temporarily employed, such as plain or bran baths, with the use of
some bland oil or ointment. As a rule, however, the conditions, when
coming under observation, are such as to permit of stimulating
applications from the start. The most efficient soothing applications
are the mild lotions and ointments employed in eczema of acute type.
#How are the stimulating remedies employed in psoriasis applied?#
As ointments, oils, and paints (pigmenta).
An ointment, if employed, is to be thoroughly rubbed in the diseased
areas once or twice daily. The same may be said of the oily
applications. The paints (medicated collodion and gutta-percha solution)
are applied with a brush, once daily, or every second or third day,
depending mainly upon the length of time the film remains intact and
adherent.
#Name the several important external remedies.#
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