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
A general tonic plan of medication is indicated in most cases, with such
remedies as iron, quinine, nux vomica, and cod-liver oil and other
nutrients. In many instances arsenic exerts a special influence, and
should always be tried. Mercurials in moderate dosage have also a
favorable action in most cases. Locally, antipruritic and stimulating
applications, such as are used in the treatment of eczema, are to be
employed, alkaline baths and tarry applications deserving special
mention. Liquor carbonis detergens, applied weakened with several parts
water, is a valuable application. In some cases, particularly if the
disease is limited, external applications alone often suffice to bring
about a cure.
#Pityriasis Rubra Pilaris.#
(_Synonyms:_ Lichen Ruber; Lichen Ruber Acuminatus.)
#Describe pityriasis rubra pilaris.#
Pityriasis rubra pilaris is an extremely rare disease, usually of a
mildly inflammatory nature, characterized by grayish, pale-red or
reddish-brown follicular papules with somewhat hard or horny centres;
discrete and confluent, and covering a part or the entire surface. The
skin is harsh, dry and rough, feeling to the touch somewhat like the
surface of a nutmeg-grater or a coarse file. More or less scaliness is
usually present in the confluent patches and on the palms and soles; in
these latter regions the papules are rarely seen. The duration of the
disease is variable, and relapses are common. It bears resemblance at
times to keratosis pilaris, ichthyosis, dermatitis exfoliativa; it is
considered identical with the lichen ruber acuminatus of Kaposi, and by
many also with the lichen ruber of Hebra. The etiology is obscure.
Treatment, both constitutional and local, is to be based upon general
principles; stimulating applications, with frequent baths, such as are
advised in psoriasis, are the most satisfactory. It is rebellious, and
not much more than palliation can be effected in some cases, in others
the outlook is more hopeful.
#Lichen Scrofulosus.#
#Describe lichen scrofulosus.#
Lichen scrofulosus is a chronic, inflammatory disease, characterized by
millet-seed-sized, rounded or flat, reddish or yellowish, more or less
grouped, desquamating papules. The lesions have their start about the
hair-follicles, occur usually upon the trunk, tend to group and form
patches, and sooner or later become covered with minute scales. As a
rule, there is no itching. It is a rare disease, and but seldom met with
in America; it is seen chiefly in children and young people of a
scrofulous diathesis. Scarring, slight in character, may or may not
follow.
#What is the treatment of lichen scrofulosus?#
The condition responds to tonics and anti-strumous remedies.
#Eczema.#
(_Synonym:_ Tetter; Salt Rheum.)
#What is eczema?#
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