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
Acne varioliformis is characterized by lesions of a moderately
superficial papulo-pustular type, which in disappearing leave slight or
pit-like scars. The forehead and scalp are the favorite sites, but they
may also occur elsewhere. The eruption is rather scanty as a rule,
consisting usually of ten to thirty lesions. They begin as small
maculo-papules, as papules, or as minute nodules in or on the skin, and
gradually become small pea-sized, with a tendency to slight vesiculation
or pustulation at the central part. The lesion is sluggish in its
course, drying to a thin crust, which finally falls off, leaving a
depressed variola-like scar. New lesions arise from time to time, and
the disease thus continues almost indefinitely. There may or may not be
itching. In what appears to be a variety of this disease, known usually
as _acne urticata_, there is considerable itching just at the time the
lesion is appearing. The malady is not frequent, but occurs in both
sexes, usually in those between the ages of twenty and fifty. It seems
probable that the eruption is parasitic in origin.
The maladies variously known as hydradenitis suppurativa, acnitis,
spiradenitis, folliclis, granuloma necroticum, etc., in which the
lesions, primarily at least, are somewhat deeper seated, sluggish in
their course, and followed by scarring, could be also included under
this head.
#Give the prognosis and treatment.#
The disease is rebellious and tends to recur. The most efficient
applications are those of sulphur and resorcin, the same as prescribed
in ordinary acne.
#Sycosis.#
(_Synonyms:_ Sycosis Vulgaris; Sycosis Non-parasitica; Folliculitis
Barbae; Sycosis Coccogenica.)
#What do you understand by sycosis?#
Sycosis is a chronic, inflammatory affection involving the
hair-follicles, usually of the moustache and bearded regions only, and
characterized by papules, tubercles, and pustules perforated by hairs.
#Describe the symptoms of sycosis.#
Sycosis begins by the formation of papules and pustules about the
hair-follicles; the lesions occur in numbers, in close proximity,
and together with the accompanying inflammation, make up a small or large
area. The pustules are small, rounded, flat or acuminated, discrete, and
yellowish in color; they are perforated by hairs, show no tendency to
rupture, and are apt to occur in crops, drying to thin yellowish or
brownish crusts. Papules and tubercles are often intermingled. More or
less swelling and infiltration are noticeable.
[Illustration: Fig. 26.
Sycosis--not infrequently begins in, and sometimes limited to, this
region.]
The disease is seen, as a rule, only on the bearded part of the face,
either about the cheeks, chin or upper lip, involving a small portion or
the whole of these parts. It is also sometimes met with involving the
hair follicles just within the nasal orifice, and may even be limited to
this region.
Public-domain text, read in full here on John Shaqi.
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