_Prickly Heat._—This condition is very frequent, especially in the moist
tropics. It is due to free sweating, and is accompanied by intense heat
and itching. The parts closely covered by clothing are specially apt to
be affected. The skin becomes covered with numerous slightly inflamed
papules, set close together, and the eruption may remain for months at a
time, varying in intensity according to circumstances.
_Prophylaxis._—Avoid long drinks, warm clothing, too much exercise, and
all conditions producing excessive perspiration. Sea-bathing should
be avoided, and soap should not be used in the bath. One should sleep
under as hygienic conditions as possible, with a well-ventilated bed and
without unnecessary clothing. A dusting powder of equal parts of boric
acid, oxide of zinc, and starch is useful.
_Treatment._—Ryan strongly recommends the so-called “Sulphaqua” bath
charge, which is sold in packets ready for use. The above-mentioned
dusting powder is helpful, as is the application of a lotion containing
salicylic acid and spirit. Some prefer oily applications. Whatever is
used, care should be taken to see that the bowels are well opened at the
beginning of an attack, preferably by a saline purge.
_Ulcers._—Ulcers are often very troublesome to the traveller, as the
healing process is frequently retarded by exposure, dirt and dust, and
the chafing of clothes. Want of sufficient animal food greatly favours
the spread of large ulcers.
A simple dressing of iodoform ointment, or ointment of boric acid, is
effective when the ulcer can be protected, and rest can be given to the
affected part. When the ulcer is deep and large it may be stimulated to
heal by the application of lint or cotton-wool, moistened with carbolic
oil, carbolic lotion, or other antiseptics.
Large, unhealthy ulcers should be well bathed with some antiseptic such
as carbolic acid, one in sixty of water, or a solution of chinosol (1 in
600); and after the sore has been cleansed it may be lightly dusted with
iodoform and then covered with a piece of lint moistened with carbolic
oil or smeared with iodoform ointment and supported by an evenly applied
bandage. Boric ointment, lano-creoline, izal ointment or other antiseptic
dressing may take the place of iodoform ointment.
In addition to the above general account, certain conditions leading to
ulceration require consideration.
_Oriental Sore._—This condition is commonly known as Baghdad Boil, Aleppo
Button, Frontier Sore, etc. It occurs in various hot countries, such
as Egypt, Syria, Asia Minor, Arabia, and Mesopotamia, and has been met
with in Europe and Greece. A special form affecting both skin and mucous
membranes is widely distributed in South America.
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