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
Incision and expression of the contents, and touching the base of the
cavity with silver nitrate. Pedunculated growths may be ligated. In some
cases an ointment of ammoniated mercury, twenty to forty grains to the
ounce, applied, by gently rubbing, once or twice daily, will bring about
a cure.
#Callositas.#
(_Synonyms:_ Tylosis; Tyloma; Callus; Callous; Callosity; Keratoma.)
#What do you understand by callositas?#
A hard, thickened, horny patch made up of the corneous layers of the
epidermis.
#Describe the clinical appearances.#
Callosities are most common about the hands and feet, and consist of
small or large patches of dry, grayish-yellow looking, hard, slight or
excessive epidermic accumulations. They are somewhat elevated,
especially at the central portion, and gradually merge into the healthy
skin. The natural surface lines are in a great measure obliterated, the
patches usually being smooth and horn-like.
_Keratosis palmaris et plantaris_ (symmetric keratodermia), as regards
the local condition, is a somewhat similar affection. It consists of
hypertrophy of the corneous layer of the palm and soles, usually of a
more or less horny and plate-like character, but is congenital or
hereditary, and not necessarily dependent upon local friction or
pressure.
#Are there any inflammatory symptoms in callositas?#
No; but exceptionally, from accidental injury, the subjacent corium
becomes inflamed, suppurates, and the thickened mass is cast off.
#State the causes of callositas.#
Pressure and friction; for example, on the hands, from the use of
various tools and implements, and on the feet from ill-fitting shoes. It
is, indeed, often to be looked upon as an effort of nature to protect
the more delicate corium.
In exceptional instances it arises without apparent cause.
#What is the pathology?#
The epidermis alone is involved; it consists, in fact, of a hyperplasia
of the horny layer.
#State the prognosis of callositas.#
If the causes are removed, the accumulation, as a rule, gradually
disappears. The effect of treatment is always rapid and positive, but
unless the etiological factors have ceased to act, the result is usually
but temporary.
#How is callositas treated?#
When treatment is deemed advisable, it consists in softening the parts
with hot-water soakings or poultices, and subsequently shaving or
scraping off the callous mass. The same result may also be often
effected by the continuous application, for several days or a week, of a
10 to 15 per cent. salicylated plaster, or the application of a
salicylated collodion, same strength; it is followed up by hot-water
soaking, the accumulation, as a rule, coming readily away.
#Clavus.#
(_Synonym:_ Corn.)
#What is clavus?#
Clavus, or corn, is a small, circumscribed, flattened, deep-seated,
horny formation usually seated about the toes.
#Describe the clinical appearances.#
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