=CALLUS AND CRACKS OF THE SKIN.=--Callus consists of round or
irregular, flattened, yellowish thickenings of the upper or horny
layer of the skin. The skin becomes hypertrophied and resembles a
thick, horny layer, caused by intermittent pressure of tools, shoes,
etc. The whole palm of the hand or soles of the feet may be the seats
of a continuous callus. Callus is not harmful, except in leading to
cracks of the skin near the bend of joints, and, rarely, in causing
irritation, heat, pain, and even the formation of pus in the skin
beneath. Callus usually disappears when the exciting cause or pressure
is removed.
=Treatment.=--The hands and feet should be soaked continuously in hot
baths containing washing soda, and then should be covered with
diachylon (or other) ointment. This may be done each night; or
collodion (one ounce containing thirty grains of salicylic acid) may
be painted, night and morning for several days, on the callus, and
then, after soaking for some time in hot water, the surface should be
scraped off with a dull knife and the process repeated as often as
necessary to effect a cure. Fissure or cracks of the skin caused by
callus are treated in the same manner: by prolonged soaking in hot
water, paring away the edges, and applying diachylon ointment or cold
cream to the part. Inflammation about callus must be cared for as
recommended above for inflamed corns.
=BOILS.=--A boil is a circumscribed inflammatory process, caused by
the entrance of pus-producing germs into the skin either through the
pores (the mouths of the sweat glands) or along the shafts of the
hair, and in this way invading the glands which secrete a greasy
material (sebaceous glands). In either case the pus germs set up an
inflammation of the sweat or sebaceous glands, and the surrounding
structures of the skin, and a small, red, itching pimple results.
Rarely, after a few days, the redness and swelling disappear, and the
pus, if any, dries and the whole process subsides. This is called a
"blind boil." But usually the boil increases in size for several days,
until it may be as large as a pigeon's egg. It assumes a bright-red
sharply defined, rounded shape, with a conical point, and is at first
hard and then softens as pus or "matter" forms. There is severe pain
of a throbbing, boring character, which is worse at night, and
destroys the patient's sleep and appetite. There may be some fever.
The glands in the neighborhood may be enlarged and tender, owing to
some of the pus germs' escaping from the boil and lodging in the
glands.
Public-domain text, read in full here on John Shaqi.
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