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
Ordinarily a corn has the appearance of a small callosity; the skin is
thickened, polished and horny. Exceptionally, however, occurring on
parts that are naturally more or less moist, as between the toes,
maceration takes place, and the result is the so-called _soft corn_. The
dorsal aspect of the toes is the common site for the ordinary variety.
The usual size is that of a small pea. They are painful on pressure,
and, at times, spontaneously so.
#State the causes.#
Corns are caused by pressure and friction, and may usually be referred
to improperly fitting shoes.
#What is the pathology of clavus?#
It is a hypertrophy of the epiderm. Its shape is conical, with the base
external and the apex pressing upon the papillae. It is, in fact, a
peculiarly-shaped callosity, the central portion and apex being dense
and horny, forming the so-called core.
#Give the treatment of clavus.#
A simple method of treatment consists in shaving off, after a
preliminary hot-water soaking, the outer portion, and then applying a
ring of felt or like material, with the hollow part immediately over the
site of the core; this should be worn for several weeks. It is also
possible in some cases to extract the whole corn by gently dissecting it
out; the after-treatment being the same as the above.
Another method is by means of a ten- to fifteen-per-cent. solution of
salicylic acid, in alcohol or collodion, or the following:--
[Rx] Ac. salicylici, ...................... gr. xxx
Ext. cannabis Ind., .................. gr. x
Collodii, ............................ f[dram]iv. M.
This is painted on the corn night and morning for several days, at the
end of which time the parts are soaked in hot water, and the mass or a
greater part of it, will be found, as a rule, to come readily away; one
or two repetitions may be necessary. Lactic acid, with one to several
parts of water, applied once or twice daily, acts in a similar manner.
Soft corns, after the removal of pressure, may be treated with the solid
stick of nitrate of silver, or by any of the methods already mentioned.
In order that treatment be permanently successful, the feet are to be
properly fitted. If pressure is removed, corns will commonly disappear
spontaneously.
#Cornu Cutaneum.#
(_Synonyms:_ Cornu Humanum; Cutaneous Horn.)
#What is cornu cutaneum?#
A cutaneous horn is a circumscribed hypertrophy of the epidermis,
forming an outgrowth of horny consistence and of variable size and
shape.
#At what age and upon what parts are cutaneous horns observed?#
They are usually met with late in life, and are mostly seated upon the
face and scalp.
[Illustration: Fig. 32.
Cutaneous Horns. Showing beginning epitheliomatous degeneration of the
base. (_After Pancoast._)]
#Describe the clinical appearances.#
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