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
Psoriasis occurs in variously-sized, rounded, _sharply-defined_ patches,
usually scattered irregularly over the general surface, with special
predilection for the elbows and knees. They are covered more or less
abundantly with whitish, silvery or mother-of-pearl colored imbricated
scales. The patches are always dry, and itching is, as a rule, slight,
or may be entirely absent. Eczema, on the contrary, is often localized,
appearing as one or more large, irregularly diffused patches; it merges
imperceptibly into the sound skin, and there is often a history of
characteristic serous or gummy oozing; the scaling is usually slight and
itching almost invariably a prominent symptom.
#How would you exclude seborrh[oe]a (eczema seborrhoicum) in a suspected
case of eczema?#
Seborrh[oe]a of the scalp is more commonly over the whole of that region
and is relatively free from inflammatory symptoms; the scales are of a
greasy character and the itching is usually slight or nil. On the other
hand, in eczema of this region the parts are rarely invaded in their
entirety; there may be at times the characteristic serous or gummy
oozing; inflammatory symptoms are usually well-marked, the scales are
dry and the itching is, as a rule, a prominent symptom. These same
differences serve to differentiate the diseases in other regions.
#How does scabies differ from eczema?#
Scabies differs from eczema in its peculiar distribution, the presence
of the burrows, the absence of any tendency to patch formation, and
usually by a clear history of contagion.
#How would you exclude ringworm in a suspected case of eczema?#
Ringworm is to be distinguished by its circular form, its fading in the
centre, and in doubtful cases by microscopic examination of the
scrapings.
#How does eczema differ from sycosis?#
Sycosis is limited to the hairy region of the face, is distinctly a
follicular inflammation, and is rarely very itchy; eczema is diffused,
usually involves other parts of the face, and itching is an annoying
symptom.
#State the general prognosis of eczema.#
The disease is, under favorable circumstances, curable, some cases
yielding more or less readily, others proving exceedingly rebellious.
The length of time to bring about a result is always uncertain, and an
opinion on this point should be guarded.
#Upon what would you base your prognosis in the individual case?#
The extent of disease, its duration and previous behavior, the
removability of the exciting and predisposing causes, and the attention
the patient can give to the treatment.
In eczema involving the lips, face, scrotum, and leg, and especially
when this last-named exhibits a varicose condition of the veins, a cure
is effected, as a rule, only through persistent and prolonged treatment.
#Does eczema ever leave scars?#
No. Upon the legs, in long-continued cases, more or less pigmentation
usually remains.
#How is eczema treated?#
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