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
[Illustration: Fig. 27. Sycosis.]
#Is constitutional treatment of no avail in sycosis?#
In some instances; but, as a rule, it is negative. If indicated, such
remedies as tonics, alteratives, cod-liver oil and the like are to be
prescribed.
#Describe the external treatment.#
Crusting, if present, is to be removed by warm embrocations. If the
inflammation is of a high grade, and the parts tender and painful,
soothing applications, such as bland oils, black wash and oxide-of-zinc
ointment, cold cream and petrolatum, are to be used; boric-acid
solution, fifteen grains to the ounce, may be advised in place of black
wash.
In most cases, however, astringent and stimulating remedies are demanded
from the start, such as: diachylon ointment, alone or with ten to thirty
grains of calomel to the ounce; oleate of mercury, as a five- to
twenty-per-cent. ointment; precipitated sulphur, one to three drachms to
the ounce of benzoated lard, or lard and lanolin; a ten- to
twenty-five-per-cent. ichthyol ointment; and resorcin lotion or
ointment, ten to twenty per cent. strength.
[Illustration: Fig. 28. Sycosis.]
A change from one application to another will be found necessary in
almost all cases.
In obstinate cases the x-ray treatment can be used, as it has proved
itself valuable in some instances; as in other diseases, it should be
employed cautiously.
#What would you advise in regard to shaving?#
When bearable (and after a few days' application of soothing remedies it
almost always is), it is to be advised in all cases, as it materially
aids in the treatment. After a cure is effected it should be continued
for some months, until the healthy condition of the parts is thoroughly
established.
#When is depilation advisable as a therapeutic measure?#
When the suppurative process is active, in order to save the follicles
from destruction; incising or puncturing the pustules will often
accomplish the same end.
Depilation is in all cases a valuable therapeutic measure, but it is
painful; as a routine practice, shaving is less objectionable and, upon
the whole, is probably as satisfactory. Those who make free use of the
x-ray commonly push it to the point of producing depilation.
#Dermatitis Papillaris Capillitii.#
(_Synonym:_ Acne Keloid.)
[Illustration: Fig. 29. Dermatitis Papillaris Capillitii.]
#Describe dermatitis papillaris capillitii.#
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