Mayer recommends the rubbing in of rheumasan, a salve-soap containing 10
per cent. of free salicylic acid. This should be massaged in for at
least five minutes and then glacé gloves should be worn at night. The
patient should be cautioned to discontinue the use of the drug for a few
days on the first appearance of redness.
A. W.
PSORIASIS VULGARIS OF THE SKIN AND MUCOUS MEMBRANE, ITS PATHOLOGICAL
POSITION AND ÆTIOLOGY. P. THIMM. (_Monatsh. f. prakt. Derm._, July
1st, 1904, p. 1.)
Dr. Thimm gives the history of a patient, a man aged 36 years, who had
been under his care for five years. He had an obstinate recurring
extensive psoriasis eruption of the skin of the trunk and limbs, typical
psoriasis lesions of the upper and lower lips, extending on to the
mucous membranes of the mouth and nasal cavities. In addition, the
mucous membrane of the mouth showed, while he was under observation,
various circumscribed diseased patches, setting in synchronously with
the eruption on the skin, which also disappeared at the same time after
general treatment with arsenic. Schimmer’s typical leucoplakia was also
present, the patient being an immoderate smoker, and this continued in
spite of all treatment. There were no signs of syphilis.
Microscopical examination of two mucous membrane lesions showed great
œdema, enlarged intercellular spaces, thickening of the epidermal
covering _in toto_, but a thinning of the rete over the elongated,
high-reaching papillæ. Small-celled infiltration of the upper layers of
the corium, extending even up into the epithelium, was also present.
Public-domain text, read in full here on John Shaqi.
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