_Treatment._—Mild cases are best treated by using an ointment containing
resorcin two drachms, salicylic acid ten grains, and vaseline and
lanoline, of each four drachms. The parts may be painted with iodine but
this is somewhat irritating. An ointment of ammoniated mercury, two to
five per cent., is often effective. Bad cases require the application
of araroba (chrysarobin) ointment, but it should not be used unless
recommended by a doctor. Goulard water or Wright’s liquor carbonis
detergens (one tablespoonful to two pints of water) are soothing
applications.
(2) There is a fungus disease of the hairs, especially of the armpits
and the pubis, which occurs in tropical climates and is often very
troublesome. The hairs assume a coated, beaded or nodular appearance and
the deposit on them varies in colour and may be black, yellow or red.
The underclothing in contact with the affected parts becomes stained
and when the disease spreads to the skin, as it often does, the latter
becomes inflamed, thickened and painful.
_Prophylaxis._—Keep the axillae shaved. It is always well to do so in a
tropical climate. Failing this, dust with a mixture of powdered sulphur
and fuller’s earth, equal parts. Change the underclothing frequently and
bathe the parts liable to infection.
_Treatment._—Apply twice daily a lotion containing one drachm of formalin
in six ounces of rectified spirit, and at night rub in a two per cent.
sulphur ointment. If these measures fail apply tincture of iodine, except
in cases where the skin is involved. In such cases bathe with cold water
and employ a dusting powder or a soothing lotion.
(3) _Ringworm_ of the head is a disease due to a fungus. The part for
some distance round the affected area should be shaved, and any stumps
of hairs pulled out. The skin should be lightly painted with tincture
of iodine or strong solution of carbolic acid (one in ten of water); or
sulphur, white precipitate, or mercurial ointment may be gently rubbed in.
_Kraw-Kraw._—This is a term commonly employed by natives of the West
Coast of Africa to indicate almost any kind of itchy, papular, or
pustular eruption. Many of these appear to be contagious, and most of
them are best treated by opening up any pustules which may be present,
removing crusts by boric poultices, and scraping ulcers. Then scrub
thoroughly with sublimate lotion 1 in 1,000, dust with boric powder and
apply a dressing of medicated vaseline. The application should not be
disturbed for a week when, as a rule, the skin will be found to have
healed up. Clothing and any other articles which have been in contact
with the affected parts should be destroyed or thoroughly disinfected.
Public-domain text, read in full here on John Shaqi.
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