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 extent and severity of the disease and the general condition of the
patient are always to be considered before an opinion is expressed.
Pemphigus neonatorum usually ends fatally.
#Give the treatment of pemphigus.#
Both constitutional and local measures are demanded. Good nutritious
food and hygienic regulations are essential. Arsenic and quinia are the
most valuable remedies. The former, in occasional instances, seems to
have a specific influence, and should always be tried, beginning with
small doses and increasing gradually to the point of tolerance and
continued for several weeks or longer. The remedy should not be set
aside as long as there are signs of improvement, unless the supervention
of stomachic, intestinal or other disturbance demand its discontinuance.
Other tonics, such as iron, strychnia and cod-liver oil, are also at
times of service.
The blebs should be opened and the parts anointed or covered with a mild
ointment. In more general cases bran, starch and gelatin baths, and in
severe cases the continuous bath, if practicable, are to be used.
#CLASS III.--HEMORRHAGES.#
#Purpura.#
#Define purpura.#
Purpura is a hemorrhagic affection characterized by the appearance of
variously-sized, usually non-elevated, smooth, reddish or purplish spots
or patches, not disappearing under pressure.
#Name the several varieties met with.#
Three--purpura simplex, purpura rheumatica and purpura haemorrhagica;
denoting, respectively, the mild, moderate and severe grade of the
disease. The division is, to a great extent, an arbitrary one.
#Describe the clinical appearance and course of an individual lesion of
purpura.#
The spot, which may be pin-head, pea-, bean-sized or larger, appears
suddenly, and is of a bright red or purplish red color. Its brightness
gradually fades, the color changing to a bluish, bluish-green, bluish-
or greenish-yellow, dirty yellowish, yellowish-white, and finally
disappearing; varying in duration from several days to several weeks.
#Describe the symptoms of purpura simplex.#
Purpura simplex, or the mild form, shows itself as pin-point to pea- or
bean-sized, bright or dark-red spots, limited, as a rule, to the limbs,
especially the lower extremities; fading gradually away and coming to an
end in a few weeks, or new crops appearing irregularly for several
months. There is rarely any systemic disturbance, and, as a rule, no
subjective symptoms; in exceptional cases an urticarial element is
added--_purpura urticans_.
#Describe the symptoms of purpura rheumatica.#
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