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
The constitutional treatment, beyond a regulation of the diet, is to be
based upon a correct appreciation of the etiological factors in the
individual case. There are no special remedies. Iron, cod-liver oil,
tonics, ergot, alkalies, saline laxatives, and similar drugs are to be
variously prescribed.
#What is the external treatment?#
In many respects, both as to the preliminary measures and remedies,
essentially the same as that employed in the treatment of simple acne
(_q. v._). The _x_-ray treatment is not so efficient in this disease,
however, as in acne. In addition to the treatment there found, several
other applications deserve mention:--
In many cases _Vleminckx's solution_[C] is valuable, applied diluted
with one to ten parts of water. Also, a mucilaginous paste containing
sulphur:--
[Rx] Mucilag. acaciae, ..................... f[dram]iij
Glycerinae, ........................... f[dram]ij
Sulphur, praecip., .................... [dram]iij. M.
[Footnote C:
[Rx] Calcis, .............................. [Oz]ss
Sulph. sublimat., .................... [Oz]j
Aquae, ................................ [Oz]x.
To be boiled down to [Oz]vj and filtered.]
Or a similar paste with the glycerine in the foregoing replaced with
ichthyol may be used.
#In what manner are the dilated bloodvessels and connective-tissue
hypertrophy to be treated?#
The enlarged capillaries are to be destroyed by incision or by
electrolysis. Properly managed the vessels may be thus destroyed, but
unless the predisposing causes have disappeared or have been remedied, a
new growth may take place.
If the knife is employed, the vessels are either slit in their length or
cut transversely at several points. The method by electrolysis is the
same as used in the removal of superfluous hair (_q. v._).; the needle
may, if the vessel is short, be inserted along its calibre, or if long,
may be inserted at several points in its length.
Excessive connective-tissue growth, exceptionally met with, is to be
treated by ablation with the scissors or knife.
#Acne Varioliformis.#
(_Synonyms:_ Acne Frontalis; Acne Rodens; Acne Necrotica; Lupoid Acne;
Necrotic Granuloma.)
#Describe acne varioliformis.#
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