file :i* includes ! orig9al illu/rations4 ,see #beidd-;h4htm or #beidd-;h4zip3 7https3_/_/www4gut5b]g4org_/dirs_/#b_/e_ /i_/d_/beidd_/beidd-;h_/#beidd-;h4htm7 or 7https3_/_/www4gut5b]g4org_/dirs_/#b_/e_ /i_/d_/beidd_/beidd-;h4zip7 ,transcrib]'s note3 ,?is book conta9s _m *>act]s n display$ by ,,ascii or iso-#hhei-a 7,lat9#a7 "* sets4 ,9 ! text file ^! *>act]s h be5 d5ot$ by enclos+ explanatory text )9 squ>e brackets4 ,two ( ! m commonly occurr+ su* *>act]s are ! oe-ligature 7d5ot$ by oe or ,,oe7 & a-macron 7d5ot$ by a4 ,"s1 b n all1 ( ! o!r su* *>act]s display prop]ly 9 ! html v]sion4 ,text enclos$ betwe5 p\nd signs 0 9 bold face 9 ! orig9al 7bold face74 ,a detail$ transcrib]'s note is at ! end ( ! e-text4 ,,ess5tials ,,( ,,diseases ,,( ,,! ,,sk9 ,includ+ ! ,syphilod]mata ,arrang$ 9 ! ,=m ( ,que/ions & ,answ]s ,prep>$ ,especially = ,/ud5ts ( ,m$ic9e by ,,h5ry ,w4 ,,/elwagon1 ,m4,d41 ,,ph4,d4 99 99 99 99 99 ,get ! ,be/ ,! ,new ,/&>d ,,dorl&',s ,,am]ican ,,illu/rat$ ,,m$ical ,,diction>y ,= ,/ud5ts & ,practition]s ,a ,new & ,complete ,diction>y ( ! t]ms us$ 9 ,m$ic9e1 ,surg]y1 ,d5ti/ry1 ,ph>macy1 ,*emi/ry1 & k9dr$ bran*es2 toge!r ) new & elaborate ,tables ( ,art]ies1 ,muscles1 ,n]ves1 ,ve9s1 etc42 ( ,bacilli1 ,bact]ia1 ,micrococci1 etc42 ,eponymic ,tables ( ,diseases1 ,op]ations1 ,signs & ,symptoms1 ,/a9s1 ,te/s1 ,me?ods ( ,treatm5t1 etc4 ,by ,w4,a4,n4 ,dorl&1 ,m4,d41 ,editor ( ! ,am]ican ,pocket ,m$ical ,diction>y4 ,l>ge octavo1 ne>ly #hjj pages1 b\nd 9 full flexible lea!r4 ,price1 #d4ej net2 ) ?umb index1 #e4jj net4 ,,j ,,issu$--,,new 7#d7 ,,revis$ ,,edition--#bjjj ,,new ,,words ,x conta9s a maximum am\nt ( matt] 9 a m9imum space & at ! l[e/ possible co/4 ,?is book conta9s d\ble ! mat]ial 9 ! ord9>y /ud5ts' diction>y1 & yet1 by ! use ( a cle>1 cond5s$ type & ?9 pap] ( ! f9e/ quality1 is only #a-c_/d in*es 9 ?ickness4 ,x is b\nd 9 full flexible lea!r1 & is j ! k9d ( a book t a man w want to keep on 8 desk = con/ant ref]5ce4 ,! book makes a special feature ( ! new] words1 & def9es hundr$s ( important t]ms n to be f\nd 9 any o!r diction>y4 ,x is especially full 9 ! matt] ( tables1 conta9+ m ?an a hundr$ ( great practical value1 includ+ new tables ( ,te/s1 ,/a9s & ,/a9+ ,me?ods4 ,a new feature is ! inclusion ( num]\s h&some illu/rations1 _m ( !m 9 colors1 drawn & engrav$ specially = ?is book4 ,i mu/ ackn[l$ge my a/oni%m5t at see+ h[ mu* he has cond5s$ )9 relatively small space4 ,i f9d no?+ to criticise1 v mu* to comm5d1 & 0 int]e/$ 9 f9d+ "s ( ! new words :i* are n 9 o!r rec5t diction>ies4--,roswell ,p>k1 ,pr(essor ( ,pr9ciples & ,practice ( ,surg]y & ,cl9ical ,surg]y1 ,univ]sity ( ,buffalo4 ,dr4 ,dorl&'s ,diction>y is admirable4 ,x is s well gott5 up & ( su* conv5i5t size4 ,no errors h be5 f\nd 9 my use ( x4--,h[>d ,a4 ,kelly1 ,pr(essor ( ,gynecology1 ,johns ,hopk9s ,univ]sity1 ,baltimore4 ,w4 ,b4 ,,saund]s ,,company1 #ibe ,walnut ,/41 ,phila4 ,london3 #i1 ,h5rietta ,/reet1 ,cov5t ,g>d5 ,fif? ,edition1 ,j ,ready ,) ,complete ,vocabul>y ,,! ,,am]ican ,,pocket ,,m$ical ,,diction>y ,,edit$ ,,by ,w4,a4 ,,newman ,,dorl&1 ,a4,m41 ,m4,d41 ,assi/ant ,demon/rator ( ,ob/etrics1 ,univ]sity ( ,p5nsylvania4 ,,hundr$s ,,( ,,new ,,t]ms ,b\nd 9 ,full ,lea!r1 ,limp1 ) ,gold ,edges4 ,price1 #a4jj net2 ) ,pat5t ,?umb ,index1 #a4be net4 ,! book is an absolutely new "o4 ,x is n a revision ( any old "w1 b x has be5 writt5 entirely anew & is con/ruct$ on l9es t exp]i5ce has %[n to be ! mo/ practical = a "w ( ?is k9d4 ,x aims to be complete1 & to t end conta9s practically all ! t]ms ( mod]n m$ic9e4 ,?is makes an unusually l>ge vocabul>y4 ,besides ! ord9>y diction>y t]ms ! book conta9s a weal? ( anatomical & o!r tables4 ,?is matt] is ( p>ticul> value to /ud5ts = memoriz+ 9 prep>ation = exam9ation4 ,i am /ruck at once ) admiration at ! compact size & attractive ext]ior4 ,i c recomm5d x to our /ud5ts )\t res]ve4--,james ,w4 ,holl&1 ,m4,d41 ( ,jeff]son ,m$ical ,college4 ,?is is a h&y pocket diction>y1 :i* is s full & complete t x puts to %ame "s ( ! m pret5ti\s volumes4--,j\rnal ( ! ,am]ican ,m$ical ,association4 ,we h consult$ x = ! mean+ ( _m new & r>e t]ms1 & h n met ) a disappo9tm5t4 ,! def9itions are exquisitely cle> & concise4 ,we h nev] f\nd s mu* in=mation 9 s small a space4--,dubl9 ,j\rnal ( ,m$ical ,sci5ce4 ,?is is a h&y little volume t1 ^u exam9ation1 seems fairly to fulfil ! promise ( its title1 & to conta9 a va/ am\nt ( in=mation 9 a v small space4444 ,x is some:at surpris+ t x conta9s s _m ( ! r>] t]ms us$ 9 m$ic9e4--,bullet9 ,johns ,hopk9s ,hospital1 ,baltimore4 ,w4 ,b4 ,,saund]s ,,company1 #ibe ,walnut ,/41 ,phila4 ,london3 #i1 ,h5rietta ,/reet1 ,cov5t ,g>d5 99 99 99 99 99 ,,ess5tials ,,( ,,diseases ,,( ,,! ,,sk94 ,s9ce ! issue ( ! fir/ volume ( ! ,saund]s ,"q-,comp5ds1 ,,ov] #bij1jjj ,,copies ( ^! unrivall$ publications h be5 sold4 ,?is enorm\s sale is indisputable evid5ce ( ! value ( ^! self-helps to /ud5ts & physicians4 ,saund]s' ,"q-,comp5ds4 ,no4 #aa4 ,,ess5tials ,,( ,,diseases ,,( ,,! ,,sk9 ,includ+ ! ,syphilod]mata ,arrang$ 9 ! ,=m ( ,que/ions & ,answ]s ,prep>$ ,especially = ,/ud5ts ( ,m$ic9e by ,,h5ry ,w4 ,,/elwagon1 ,m4,d41 ,,ph4,d4 ,pr(essor ( ,d]matology 9 ! ,jeff]son ,m$ical ,college1 ,philadelphia2 ,d]matologi/ to ! ,h[>d & ,philadelphia ,hospitals1 etc4 ,sev5? ,edition1 ,?or\ghly ,revis$ ,illu/rat$ ,philadelphia & ,london ,w4 ,b4 ,saund]s ,company #aiji ,set up1 electrotyp$1 pr9t$1 #ahij4 ,repr9t$ ,july1 #ahia4 ,revis$1 repr9t$1 ,june1 #ahid4 ,repr9t$ ,m>*1 #ahig4 ,revis$1 repr9t$1 ,augu/1 #ahii4 ,repr9t$ ,septemb]1 #aija1 ,may1 #aijb1 ,septemb]1 #aijc4 ,revis$1 repr9t$ ,janu>y1 #aije4 ,repr9t$ ,m>*1 #aijf4 ,revis$1 repr9t$ ,m>*1 #aiji4 ,pr9t$ 9 ,am]ica ,press ( ,w4 ,b4 ,saund]s ,company ,philadelphia ,,preface ,,to ,,sev5? ,,edition4 ,9 ! pres5t--sev5?--edition ! subject matt]1 especially z reg>ds ! practical "p1 has be5 gone ov] c>efully & ! necess>y corrections & additions made4 ,n9ete5 new illu/rations h be5 add$1 a few ( ! old ones be+ elim9at$4 ,x is hop$ t ! cont9u$ dem& = ?is comp5d means a wid5+ int]e/ 9 ! /udy ( diseases ( ! sk91 suffici5tly ke5 z to lead to ! desire = a /ill great] k4 ,h4,w4,s4 ,,preface ,,to ,,fir/ ,,edition4 ,mu* ( ! pres5t volume is1 9 a measure1 ! outcome ( a ?or\gh revision1 remodell+ & simplification ( ! v>i\s articles contribut$ by ! au?or to ,pepp]'s ,sy/em ( ,m$ic9e1 ,buck's ,ref]5ce ,h&book ( ! ,m$ical ,sci5ces1 & ,keat+'s ,cyclopa$ia ( ! ,diseases ( ,*ildr54 ,moreov]1 9 ! endeavor to pres5t ! subject z t]sely & briefly z compatible ) cle> und]/&+1 ! sev]al /&>d treatises on diseases ( ! sk9 by ,tilbury ,fox1 ,duhr+1 ,hyde1 ,rob9son1 ,&]son1 & ,crock]1 h be5 freely consult$1 t ( ! la/-nam$ au?or sugge/+ ! pictorial pres5tation ( ! ,anatomy ( ! ,sk94 ,! space allott$ to ea* disease has be5 bas$ ^u relative importance4 ,z to treatm5t1 ! be/ & approv$ me?ods only--^? :i* are f\nd$ ^u ! aggregate exp]i5ce ( d]matologi/s--are ref]r$ to4 ,= g5]al in=mation a /ati/ical table f ! ,transactions ( ! ,am]ican ,d]matological ,association is app5d$4 ,h4,w4,s4 ,,cont5ts4 ,,page ,,anatomy ,,( ,,! ,,sk9 #ag ,! ,epid]mis #ah ,! ,blood-vessels #ai ,! ,n]v\s & ,vascul> ,papillae #bj ,! ,hair & ,hair-follicle #ba ,,symptomatology #bb ,prim>y ,lesions #bb ,second>y ,lesions #bc ,di/ribution & ,configuration #bd ,relative ,frequ5cy #bf ,contagi\sness #bg ,rapidity ( ,cure #bg ,o9tm5t ,bases #bg ,,class ,i4--,,disord]s ,,( ,,! ,,gl&s #bh ,hyp]idrosis #bh ,sudam5 #cj ,hydrocy/oma #ca ,anidrosis #ca ,bromidrosis #cb ,*romidrosis #cb ,uridrosis #cc ,phosphoridrosis #cc ,seborrhoea 7,eczema ,seborrhoicum7 #cc ,com$o #ch ,milium #db ,/eatoma #dc ,,class ,,ii4--,,inflammations #dd ,ery!ma ,simplex #dd ,ery!ma ,int]trigo #de ,ery!ma ,multi=me #df ,ery!ma ,nodosum #ej ,ery!ma ,induratum #ea ,urtic>ia #eb ,urtic>ia ,pigm5tosa #ef ,d]matitis #eh ,d]matitis ,m$icam5tosa #fj ,x-,ray ,d]matitis #fc ,d]matitis ,factitia #fd ,d]matitis ,gangra5osa #fe ,erysipelas #ff ,phlegmona ,diffusa #fh ,furunculus #fh ,c>bunculus #gj ,pu/ula ,maligna #gb ,po/-mortem ,pu/ule #gc ,framboesia #gc ,v]ruga ,p]uana #gc ,equ9ia #gd ,mili>ia #gd ,pompholyx #gf ,h]pes ,simplex #gh ,hydroa ,vacc9i=me #hj ,epid]molysis ,bullosa #hj ,d]matitis ,rep5s #ha ,h]pes ,zo/] #ha ,d]matitis ,h]peti=mis #hc ,psoriasis #hf ,pityriasis ,rosea #ie ,d]matitis ,exfoliativa #if ,li*5 ,planus #ih ,pityriasis ,rubra ,pil>is #ii ,li*5 ,scr(ulosus #ajj ,eczema #ajj ,prurigo #aah ,acne #aai ,acne ,rosacea #abf ,sycosis #acj ,d]matitis ,papill>is ,capillitii #ace ,impetigo ,contagiosa #acf ,impetigo ,h]peti=mis #ach ,ec?yma #ach ,pemphigus #adj ,,class ,,iii4--,,hemorrhages #add ,purpura #add ,scorbutus #adf ,,class ,,iv4--,,hyp]trophies #adh ,l5tigo #adh ,*loasma #adi ,k]atosis ,pil>is #aea ,k]atosis ,follicul>is #aec ,molluscum ,epi!liale #aec ,callositas #aee ,clavus #aef ,cornu ,cutaneum #aeh ,v]ruca #afj ,naevus ,pigm5tosus #afb ,i*?yosis #afe ,ony*auxis #afg ,hyp]tri*osis #afh ,,oedema ,neonatorum #agj ,scl]ema ,neonatorum #aga ,scl]od]ma #agb ,elephantiasis #agd ,d]matolysis #agf ,,class ,v4--,,atrophies #agg ,alb9ismus #agg ,vitiligo #agh ,canities #ahj ,alopecia #aha ,alopecia ,areata #ahc ,atrophia ,pilorum ,propria #ahg ,atrophia ,unguis #ahh ,atrophia ,cutis #ahi ,,class ,,vi4--,,new ,,gr[?s #aia ,keloid #aia ,fibroma #aib ,neuroma #aid ,xan?oma #aie ,myoma #aif ,angioma #aif ,telangiectasis #aig ,lymphangioma #aih ,rh9oscl]oma #aih ,lupus ,ery!matosus #aii ,lupus ,vulg>is #bjc ,tub]culosis ,cutis #bji ,a9hum #bab ,mycetoma #bab ,p]=at+ ,ulc] ( ! ,foot #bac ,syphilis ,cutanea #bac ,lepra #bca ,pellagra #bce ,epi!lioma #bcf ,paget's ,disease ( ! ,nipple #bdj ,s>coma #bda ,granuloma ,fungoides #bdb ,,class ,,vii4--,,neuroses #bdd ,hyp]ae/hesia #bdd ,d]matalgia #bdd ,anae/hesia #bdd ,pruritus #bdd ,,class ,,viii4--,,p>asitic ,,affections #bdg ,t9ea ,favosa #bdg ,t9ea ,tri*ophyt9a #bea ,t9ea ,imbricata #bfa ,t9ea ,v]sicolor #bfb ,ery?rasma #bfe ,act9omycosis #bff ,bla/omycetic ,d]matitis #bff ,scabies #bfg ,p$iculosis #bga ,p$iculosis ,capitis #bgb ,p$iculosis ,corporis #bgd ,p$iculosis ,pubis #bge ,cy/ic]cus ,cellulosae #bgf ,fil>ia ,m$95sis #bgg ,ixodes #bgg ,leptus #bgg ,,oe/rus #bgh ,pulex ,p5etrans #bgh ,cimex ,lectul>ius #bgh ,culex #bgi ,pulex ,irritans #bgi ,,table %[+ ,relative ,frequ5cy ( ! ,v>i\s ,diseases ( ! ,sk9 #bhj ,,diseases ,,( ,,! ,,sk94 ,,anatomy ,,( ,,! ,,sk94 ,illu/ration3 ,fig4 ,i4 ,v]tical section ( ! sk9--,diagrammatic4 7,aft] ,heitsmann47 ,! ,epid]mis4 ,illu/ration3 ,fig4 #b4 c1 corne\s 7horny7 lay]2 g1 granul> lay]2 m1 muc\s lay] 7rete ,malpighii74 ,! /ratum lucidum is ! lay] j above ! granul> lay]4 ,n]ve t]m9ations--n1 aff]5t n]ve2 b1 t]m9al n]ve bulbs2 l1 cell ( ,lang]hans4 7,aft] ,ranvi]47 ,! ,blood-vessels4 ,illu/ration3 ,fig4 #c4 ,c1 epid]mis2 ,d1 corium2 ,p1 papillae2 ,s1 sweat-gl& duct4 v1 art]ial & v5\s capill>ies 7sup]ficial1 or papill>y plexus7 ( ! papillae4 ,deep plexus is p>tly %[n at l[] m>g9 ( ! diagram2 vs--an int]m$iate plexus1 an outgr[? f ! deep plexus1 supply+ sweat-gl&s1 & giv+ a loop to hair papilla4 7,aft] ,ranvi]47 ,! ,n]v\s & ,vascul> ,papillae4 ,illu/ration3 ,fig4 #d4 a1 a vascul> papilla2 b1 a n]v\s papilla2 c1 a blood-vessel2 d1 a n]ve fibre2 e1 a tactile corpuscle4 7,aft] ,biesiadecki47 ,! ,hair & ,hair-,follicle4 ,illu/ration3 ,fig4 #e4 ,a1 %aft ( ! hair2 ,b1 root ( ! hair2 ,c1 cuticle ( ! hair2 ,d1 m$ull>y sub/ance ( ! hair4 ,e1 ext]nal lay] ( ! hair-follicle2 ,f1 middle lay] ( ! hair-follicle2 ,g1 int]nal lay] ( ! hair-follicle2 ,h1 papilla ( ! hair2 ,i1 ext]nal root-%ea?2 ,j1 out] lay] ( ! int]nal root-%ea?2 ,k1 int]nal lay] ( ! int]nal root-%ea?4 7,aft] ,duhr+47 ,,symptomatology4 ,! symptoms ( cutane\s disease may be objective1 subjective or bo?2 & 9 "s diseases1 also1 !re may be sy/emic di/urbance4 ,:at d y mean by objective symptoms8 ,^? symptoms visible to ! eye or t\*4 ,:at d y und]/& by subjective symptoms8 ,^? :i* relate to s5sation1 su* z it*+1 t+l+1 burn+1 pa91 t5d]ness1 heat1 anae/hesia1 & hyp]ae/hesia4 ,:at d y mean by sy/emic symptoms8 ,^? g5]al symptoms1 slight or pr(\nd1 :i* are sometimes associat$1 prim>ily or second>ily1 ) ! cutane\s disease1 z1 = example1 ! sy/emic di/urbance 9 leprosy1 pemphigus1 & purpura hemorrhagica4 ,into :at two classes ( lesions are ! objective symptoms commonly divid$8 ,prim>y 7or elem5t>y71 & ,second>y 7or consecutive74 ,prim>y ,lesions4 ,:at are prim>y lesions8 ,^? objective lesions ) :i* cutane\s diseases beg94 ,!y may cont9ue z su* or may und]go modification1 pass+ into ! second>y or consecutive lesions4 ,enum]ate ! prim>y lesions4 ,macules1 papules1 tub]cles1 :eals1 tumors1 vesicles1 blebs & pu/ules4 ,:at are macules 7maculae78 ,v>i\sly-siz$1 %ap$ & t9t$ spots & discolorations1 )\t elevation or depression2 z1 = example1 freckles1 spots ( purpura1 macules ( cutane\s syphilis4 ,:at are papules 7papulae78 ,small1 circumscrib$1 solid elevations1 r>ely exce$+ ! size ( a split-pea1 & usually sup]ficially seat$2 z1 = example1 ! papules ( eczema1 ( acne1 & ( cutane\s syphilis4 ,:at are tub]cles 7tub]cula78 ,circumscrib$1 solid elevations1 commonly pea-siz$ & usually deep-seat$2 z1 = example1 ! tub]cles ( syphilis1 ( leprosy1 & ( lupus4 ,:at are :eals 7pomphi78 ,v>i\sly-siz$ & %ap$1 :iti%1 p9ki% or r$di% elevations1 ( an evanesc5t "*2 z1 = example1 ! lesions ( urtic>ia1 ! lesions produc$ by ! bite ( a mosquito or by ! /+ ( a nettle4 ,:at are tumors 7tumores78 ,s(t or firm elevations1 usually l>ge & prom95t1 & hav+ _! seat 9 ! corium & subcutane\s tissue2 z1 = example1 sebace\s tumors1 gummata1 & ! lesions ( fibroma4 ,:at are vesicles 7vesiculae78 ,p9-head to pea-siz$1 circumscrib$ epid]mal elevations1 conta9+ s]\s fluid2 z1 = example1 ! s-call$ fev]-bli/]s1 ! lesions ( h]pes zo/]1 & ( vesicul> eczema4 ,:at are blebs 7bullae78 ,r\nd$ or irregul>ly-%ap$1 pea to egg-siz$ epid]mic elevations1 ) fluid cont5ts2 9 %ort1 !y are ess5tially ! same z vesicles & pu/ules except z to size2 z1 = example1 ! blebs ( pemphigus1 rhus poison+1 & syphilis4 ,:at are pu/ules 7pu/ulae78 ,circumscrib$ epid]mic elevations conta9+ pus2 z1 = example1 ! pu/ules ( acne1 ( impetigo1 & ( sycosis4 ,second>y ,lesions4 ,:at are second>y lesions8 ,^? lesions result+ f accid5tal or natural *ange1 modification or t]m9ation ( ! prim>y lesions4 ,enum]ate ! second>y lesions4 ,scales1 cru/s1 excoriations1 fissures1 ulc]s1 sc>s & /a9s4 ,:at are scales 7squamae78 ,dry1 lam9at$1 epid]mal exfoliations2 z1 = example1 ! scales ( psoriasis1 i*?yosis1 & eczema4 ,:at are cru/s 7cru/ae78 ,dri$ effete masses ( exudation2 z1 = example1 ! cru/s ( impetigo1 ( eczema1 & ( ! pu/ul> & ulc]at+ syphilod]mata4 ,:at are excoriations 7excoriationes78 ,sup]ficial1 usually epid]mal1 l9e> or punctate loss ( tissue2 z1 = example1 ord9>y scrat*-m>ks4 ,:at are fissures 7rhagades78 ,l9e> cracks or w\nds1 involv+ ! epid]mis1 or epid]mis & corium2 z1 = example1 ! cracks :i* (t5 occur 9 eczema :5 seat$ ab\t ! jo9ts1 ! cracks ( *app$ lips & h&s4 ,:at are ulc]s 7ulc]a78 ,r\nd$ or irregul>ly-%ap$ & siz$ loss ( sk9 & subcutane\s tissue result+ f disease2 z1 = example1 ! ulc]s ( syphilis & ( canc]4 ,:at are sc>s 7cicatrices78 ,connective-tissue new =mations replac+ loss ( sub/ance4 ,:at are /a9s8 ,discolorations left by cutane\s disease1 :i* /a9s may be transitory or p]man5t4 ,di/ribution & ,configuration4 ,:at d y mean by a pat* ( eruption8 ,a s+le gr\p or aggregation ( lesions or an area ( disease4 ,:5 is an eruption said to be limit$ or localiz$8 ,:5 x is conf9$ to "o "p or region4 ,:5 is an eruption said to be g5]al or g5]aliz$8 ,:5 x is scatt]$1 uni=mly or irregul>ly1 ov] ! entire surface4 ,:5 is an eruption univ]sal8 ,:5 ! :ole integum5t is involv$1 )\t any int]v5+ heal?y sk94 ,:5 is an eruption said to be discrete8 ,:5 ! lesions con/itut+ ! eruption are isolat$1 hav+ m or less int]v5+ normal sk94 ,:5 is an eruption conflu5t8 ,:5 ! lesions con/itut+ ! eruption are s closely cr[d$ t a solid %eet results4 ,:5 is an eruption uni=m8 ,:5 ! lesions con/itut+ ! eruption are all ( "o type or "*4 ,:5 is an eruption multi=m8 ,:5 ! lesions con/itut+ ! eruption are ( two or m types or *>act]s4 ,:5 are lesions said to be aggregat$8 ,:5 !y t5d to =m gr\ps or closely-cr[d$ pat*es4 ,:5 are lesions dissem9at$8 ,:5 !y are irregul>ly scatt]$1 ) no t5d5cy to =m gr\ps or pat*es4 ,:5 is a pat* ( eruption said to be circ9ate8 ,:5 x pres5ts a r\nd$ =m1 & usually t5d+ to cle> 9 ! c5tre2 z1 = example1 a pat* ( r+worm4 ,:5 is a pat* ( eruption said to be annul>8 ,:5 x is r+-%ap$1 ! c5tral portion be+ cle>2 z1 = example1 9 ery!ma annul>e4 ,:at mean+ is convey$ by ! t]m iris8 ,! pat* ( eruption is made up ( sev]al conc5tric r+s4 ,diff]5ce ( duration ( ! individual r+s1 usually slight1 t5ds to give ! pat* v>iegat$ coloration2 z1 = example1 9 ery!ma iris & h]pes iris4 ,:at mean+ is convey$ by ! t]m m>g9ate8 ,! %eet ( eruption is %>ply def9$ aga9/ ! heal?y sk92 z1 = example1 9 ery!ma m>g9atum1 eczema m>g9atum4 ,:at mean+ is convey$ by ! qualify+ t]m circumscrib$8 ,! t]m is appli$ to small1 usually m or less r\nd$1 pat*es1 :5 %>ply def9$2 z1 = example1 ! typical pat*es ( psoriasis4 ,:5 is ! qualify+ t]m gyrate employ$8 ,:5 ! pat*es arrange !mselves 9 an irregul> w9d+ or fe/oon-l mann]2 z1 = in/ance1 9 "s cases ( psoriasis4 ,x results1 usually1 f ! coalesc5ce ( sev]al r+s1 ! eruption disappe>+ at ! po9ts ( contact4 ,:5 is an eruption said to be s]pig9\s8 ,:5 ! eruption spreads at ! bord]1 cle>+ up at ! old] "p2 z1 = in/ance1 9 ! s]pig9\s syphilod]m4 ,,relative ,,frequ5cy4 ,"n ! m common cutane\s diseases & /ate approximately _! frequ5cy4 ,eczema1 #cj4d2 syphilis cutanea1 #aa4b2 acne1 #g4c2 p$iculosis1 #d2 psoriasis1 #c4c2 r+worm1 #c4b2 d]matitis1 #b4f2 scabies1 #b4f2 urtic>ia1 #b4e2 pruritus1 #b4a2 seborrhoea1 #b4a2 h]pes simplex1 #a4g2 favus1 #a4g2 impetigo1 #a4d2 h]pes zo/]1 #a4b2 v]ruca1 #a4a2 t9ea v]sicolor1 #a4 ,total3 eighte5 diseases1 repres5t+ #ha p] c5t4 ( all cases met )4 7,^! p]c5tages are bas$ ^u /ati/ics1 public & private1 ( ! ,am]ican ,d]matological ,association1 cov]+ a p]iod ( t5 ye>s4 ,9 private practice ! proportion ( cases ( p$iculosis1 scabies1 favus1 & impetigo is mu* small]1 :ile acne1 acne rosacea1 seborrhoea1 epi!lioma1 & lupus are relatively m frequ5t47 ,,contagi\sness4 ,"n ! m actively contagi\s sk9 diseases4 ,impetigo contagiosa1 r+worm1 favus1 scabies & p$iculosis2 exclud+ ! exan!mata1 erysipelas1 syphilis & c]ta9 r>e & d\btful diseases4 ,at ! pres5t "t :5 mo/ diseases are presum$ to be due to bact]ia or p>asites ! belief 9 contagi\sness1 "u c]ta9 conditions1 has consid]ably broad5$4 ,,rapidity ,,( ,,cure4 ,is ! rapid cure ( a sk9 disease fraught ) any dang] to ! pati5t8 ,no4 ,x 0 =m]ly s consid]$1 especially by ! public & g5]al pr(ession1 & ! impression /ill holds to "s ext5t1 b x is n 9 accord ) d]matological exp]i5ce4 ,,o9tm5t ,,bases4 ,"n ! sev]al fats 9 common use = o9tm5t bases4 ,l>d1 petrolatum 7or cosmol9e or vasel9e71 cold cream & lanol94 ,/ate ! relative advantages ( ^! sev]al bases4 ,l>d is ! be/ all-ar\nd base1 possess+ p5etrat+ prop]ties sc>cely exce$$ by any o!r fat4 ,petrolatum is also valuable1 hav+ little1 if any1 t5d5cy to *ange2 x is useful z a protective1 b is lack+ 9 its p[] ( p5etration4 ,cold ,cream 7ungt4 aquae rosae7 is soo?+ & cool+1 & may (t5 be us$ :5 o!r fatty applications disagree4 ,lanol9 is said to surpass 9 its p[] ( p5etration all o!r bases1 b ?is is n borne out by exp]i5ce4 ,x is an unsatisfactory base :5 us$ alone4 ,x %\ld be mix$ ) ano!r base 9 ab\t ! proportion ( #be to #ej4 ,^! sev]al bases may1 & (t5 ) advantage1 be v>i\sly comb9$4 ,:at is to be add$ to ^! sev]al bases if a /iff] o9tm5t is requir$8 ,simple c]ate1 wax1 sp]maceti1 or suet2 or 9 "s in/ances1 a pulv]ul5t sub/ance1 su* z />*1 boric acid1 & z9c oxide4 ,,class ,i4--,,disord]s ,,( ,,! ,,gl&s4 ,hyp]idrosis4 ,illu/ration3 ,fig4 #f4 ,a normal sweat-gl&1 highly magnifi$4 7,aft] ,neumann47 a1 ,sweat-coil3 b1 sweat-duct2 c1 lum5 ( duct2 d1 connective-tissue capsule2 e & f1 art]ial trunk & capill>ies4 ,:at is hyp]idrosis8 ,hyp]idrosis is a functional di/urbance ( ! sweat-gl&s1 *>act]iz$ by an increas$ production ( sweat4 ,?is increase may be slight or excessive1 local or g5]al4 ,z a local affection1 :at p>ts are mo/ commonly involv$8 ,! h&s1 feet1 especially ! palm> & plant> surfaces1 ! axillae & ! g5italia4 ,describe ! symptoms ( ! local =ms ( hyp]idrosis4 ,! ess5tial1 & frequ5tly ! sole symptom1 is m or less pr(use sweat+4 ,if ! h&s are ! p>ts involv$1 !y are not$ to be wet1 clammy & sometimes cold4 ,if involv+ ! soles1 ! sk9 (t5 becomes m or less mac]at$ & sodd5 9 appe>ance1 & z a result ( ?is mac]ation & cont9u$ irritation !y may become inflam$1 especially ab\t ! bord]s ( ! affect$ p>ts1 & pres5t a p9ki% or p9ki%-r$ color1 hav+ a violace\s t+e4 ,! sweat und]goes *ange & becomes (f5sive4 ,is hyp]idrosis acute or *ronic8 ,usually *ronic1 al?\gh x may also occur z an acute affection4 ,:at is ! etiology ( hyp]idrosis8 ,debility is commonly ! cause 9 g5]al hyp]idrosis2 ! local =ms are probably neurotic 9 orig94 ,:at is ! prognosis8 ,! disease is usually p]si/5t & (t5 rebelli\s to treatm5t2 9 _m in/ances a p]man5t cure is possible1 9 o!rs palliation4 ,relapses are n uncommon4 ,:at sy/emic rem$ies are employ$ 9 hyp]idrosis8 ,ergot1 belladonna1 gallic acid1 m9]al acids1 & tonics4 ,con/itutional treatm5t is r>ely ( b5efit 9 ! local =ms ( hyp]idrosis1 & ext]nal applications are seldom ( s]vice 9 g5]al hyp]idrosis4 ,precipitat$ sulphur1 a teaspoonful twice daily1 is also well spok5 (1 comb9$1 if necess>y1 ) an a/r+5t4 ,:at ext]nal rem$ies are employ$ 9 ! local =ms8 ,a/r+5t lotions ( z9c sulphate1 tann9 & alum1 appli$ sev]al times daily1 ) or )\t ! supplem5t>y use ( du/+-p[d]s4 ,weak solutions ( =maldehyde1 "o to "o hundr$1 are sometimes ( value4 ,du/+-p[d]s ( boric acid & z9c oxide1 to :i* may be add$ f t5 to ?irty gra9s ( salicylic acid to ! ounce1 to be us$ freely & (t53-- ,rx ,pulv4 ac4 salicylici 44444444444444444 gr4 x-xxx4 ,pulv4 ac4 borici 444444444444444444444 dramv4 ,pulv4 z9ci oxidi 44444444444444444444 dramiij ,m4 ,dia*ylon o9tm5t1 & an o9tm5t conta9+ a dra*m ( tann9 to ! ounce2 m especially applicable 9 hyp]idrosis ( ! feet4 ,! p>ts are fir/ ?or\ghly wa%$1 rubb$ dry ) t[els & du/+-p[d]1 & ! o9tm5t appli$ on /rips ( musl9 or l9t & b\nd on2 ! dress+ is r5ew$ twice daily1 ! p>ts ea* "t be+ rubb$ dry ) s(t t[els & du/+-p[d]1 & ! treatm5t cont9u$ = t5 days to two weeks1 aft] :i* ! du/+-p[d] is to be us$ alone = sev]al weeks4 ,no wat] is to be us$ aft] ! fir/ wa%+ until ! o9tm5t is discont9u$4 ,"o su* c\rse w occasionally suffice1 b n infrequ5tly a repetition is necess>y4 ,f>adization & galvanization are sometimes s]viceable4 ,repeat$ mild exposures to ! ,ro5tg5 rays h a favorable influ5ce 9 "s in/ances4 ,sudam54 7,synonym3 ,mili>ia cry/all9a47 ,:at is sudam58 ,sudam5 is a non-inflammatory disord] ( ! sweat-gl&s1 *>act]iz$ by p9-po9t to p9-head-siz$1 discrete b ?ickly-set1 sup]ficial1 transluc5t :iti% vesicles4 ,describe ! cl9ical *>act]s4 ,! lesions develop rapidly & 9 great numb]s1 ei!r irregul>ly or 9 crops1 & are usually to be se5 z discrete1 closely-cr[d$1 :iti%1 or pe>l-color$ m9ute elevations1 occurr+ mo/ abundantly ^u ! trunk4 ,9 appe>ance !y resemble m9ute dew-drops4 ,!y are non-inflammatory1 )\t areola1 nev] become purul5t1 & ev9ce no t5d5cy to rupture1 ! fluid disappe>+ by absorption1 & ! epid]mal cov]+ by desquamation4 ,give ! c\rse & duration ( sudam54 ,new crops may appe> z ! old] lesions are disappe>+1 & ! affection p]si/ = "s "t1 or1 on ! o!r h&1 ! :ole process may come to an end 9 sev]al days or a week4 ,9 %ort1 ! c\rse & duration dep5d ^u ! subsid5ce or p]si/5ce ( ! cause4 ,:at is ! anatomical seat ( sudam58 ,! lesions are =m$ betwe5 ! lamellae ( ! corne\s lay]1 usually ! upp] "p2 & are ?\ght to be due to "s *ange 9 ! "* ( ! epi!lial cells ( ?is lay]1 probably f high temp]ature1 giv+ rise to a block+ up ( ! surface outlet4 ,:at is ! cause ( sudam58 ,debility1 especially :5 associat$ ) high fev]4 ,! eruption is (t5 se5 9 ! c\rse ( typhus1 typhoid & rheumatic fev]s4 ,h[ w\ld y treat sudam58 ,by con/itutional rem$ies direct$ aga9/ ! pr$ispos+ factor or factors1 & ! application ( cool+ lotions ( v9eg> or alcohol & wat]1 or du/+-p[d]s ( />* & lycopodium4 ,hydrocy/oma4 ,describe hydrocy/oma4 ,hydrocy/oma is a cy/ic affection ( ! sweat-gl& ducts1 seat$ ^u ! face4 ,! lesions may be pres5t 9 scant numb]s or 9 m or less pr(usion4 ,!y h ! appe>ance ( boil$ sago gra9s imb$d$ 9 ! sk92 ! l>g] lesions may h a blui% color1 especially ab\t ! p]iph]y4 ,x is n common1 & is usually se5 9 wa%]wom5 & laundresses1 or ^? expos$ to moi/ heat4 ,9 "s cases x t5ds to disappe> dur+ ! w9t] mon?s4 ,!re are no subjective symptoms4 ,treatm5t consi/s ( punctur+ ! lesions & application ( du/+-p[d]4 ,avoidance ( ! excit+ cause 7moi/ heat7 is important4 ,anidrosis4 ,describe anidrosis4 ,x is ! opposite condition ( hyp]idrosis1 & is *>act]iz$ by dim9ution or suppression ( ! sweat secretion4 ,x occurs to "s ext5t 9 c]ta9 sy/emic diseases & also 9 "s affections ( ! sk91 su* z i*?yosis2 n]ve-injuries may give rise to localiz$ sweat-suppression4 ,treatm5t is bas$ ^u g5]al pr9ciples2 friction1 w>m & hot-vapor ba?s1 electricity & simil> measures are ( s]vice4 ,bromidrosis4 7,synonym3 ,osmidrosis47 ,describe bromidrosis4 ,bromidrosis is a functional di/urbance ( ! sweat-gl&s *>act]iz$ by a sweat secretion ( an (f5sive odor4 ,! sweat production may be normal 9 quantity or m or less excessive1 usually ! latt]4 ,! condition may be local or g5]al1 commonly ! =m]4 ,x is closely alli$ to hyp]idrosis1 & may (t5 be consid]$ id5tical1 ! odor result+ f rapid decomposition ( ! sweat secretion4 ,! decomposition & result+ odor h be5 ?\ght due to ! pres5ce ( bact]ia4 ,:at p>ts are mo/ commonly affect$ 9 bromidrosis8 ,! feet & ! axillae4 ,:at is ! treatm5t ( bromidrosis8 ,x is ess5tially ! same z t ( hyp]idrosis 7q4 v471 consi/+ ( applications ( a/r+5t lotions1 du/+-p[d]s1 especially ^? conta9+ boric acid & salicylic acid1 & ! cont9u\s application ( dia*ylon o9tm5t4 ,9 ob/9ate cases weak =maldehyde solutions1 ,ro5tg5 rays1 & high-frequ5cy curr5ts c be tri$4 ,*romidrosis4 ,describe *romidrosis4 ,?is is a functional disord] ( ! sweat-gl&s *>act]iz$ by a secretion v>i\sly color$1 & usually increas$ 9 quantity4 ,x is1 z a rule1 limit$ to a circumscrib$ area4 ,! mo/ common color is r$4 ,! condition is probably ( neurotic orig9 & t5ds to recur4 7,true *romidrosis is extremely r>e2 mo/ ( ! cases =m]ly ?\ght to be su* are n[ kn[n to be examples ( pseudo*romidrosis47 ,treatm5t %\ld be invigorat+ & tonic1 ) special ref]5ce t[>d ! n]v\s sy/em4 ,! v>i\s me?ods ( local electrization %\ld also be resort$ to4 ,mild antiseptic & a/r+5t lotions or du/+ p[d]s %\ld also be advis$4 ,r$ *romidrosis or ,pseudo*romidrosis is a condition 9 :i* ! color+ ( ! sweat occurs aft] its excretion & is due to ! pres5ce ( *romatog5\s bact]ia :i* are f\nd atta*$ to ! hairs ( ! "p 9 agglut9at$ masses4 ,! axilla is ! favorite site4 ,treatm5t consi/s ( frequ5t soap-&-wat] wa%+s1 & ! application ( boric acid1 resorc91 & corrosive sublimate lotions4 ,uridrosis4 ,describe uridrosis4 ,uridrosis is a r>e condition 9 :i* ! sweat secretion conta9s ! elem5ts ( ! ur9e1 especially urea4 ,9 m>k$ cases ! salt may be noticeable ^u ! sk9 z a colorless or :iti% cry/all9e deposit4 ,9 mo/ in/ances x has be5 prec$$ or accompani$ by p>tial or complete suppression ( ! r5al functions4 ,phosphoridrosis4 ,describe phosphoridrosis4 ,phosphoridrosis is a r>e condition1 9 :i* ! sweat is phosphoresc5t4 ,x has be5 obs]v$ 9 ! lat] /ages ( ph?isis1 9 mili>ia1 & 9 ^? :o h eat5 ( putrid fi%4 ,seborrhoea 7,eczema ,seborrhoicum74 ,synonyms3 7,/eatorrhoea2 ,acne sebacea2 ,i*?yosis sebacea2 ,d&ruff47 ,:at is seborrhoea8 ,seborrhoea is a disease ( ! sebace\s gl&s1 *>act]iz$ by an excessive & abnormal secretion ( sebace\s matt]1 appe>+ on ! sk9 z an oily coat+1 cru/s1 or scales4 ,9 _m cases ! sweat-gl&s are likewise implicat$1 & ! process may also be di/9ctly1 al?\gh usually mildly1 inflammatory4 ,at :at age is seborrhoea usually obs]v$8 ,betwe5 fifte5 & =ty4 ,x may1 h[ev]1 occur at any age4 ,"n ! p>ts mo/ commonly affect$4 ,! scalp1 face1 & 7less frequ5tly7 ! /]nal & int]scapul> regions ( ! trunk4 ,x is sometimes se5 on o!r p>ts4 ,:at v>ieties ( seborrhoea are enc\nt]$8 ,seborrhoea oleosa & seborrhoea sicca2 n infrequ5tly ! disease is ( a mix$ type4 ,:at are ! symptoms ( seborrhoea oleosa8 ,! sole symptom is an unnatural oil9ess1 v>iable z to degree4 ,its mo/ common sites are ! regions ( ! scalp1 nose1 & =ehead4 ,9 _m in/ances mild rosacea coexi/s ) oily seborrhoea ( ! nose4 ,give ! symptoms ( seborrhoea sicca4 ,a v>iable degree ( greasy scal9es1 :i* may be seat$ ^u a pale1 hyp]aemic or mildly inflammatory surface4 ,! p>ts affect$ are cov]$ scantily or m or less abundantly ) some:at greasy1 grayi%1 or br[ni%-gray scales4 ,if ^u ! scalp 7d&ruff1 pityriasis capitis71 small p>ticles ( scales are f\nd scatt]$ ?r\gh ! hair1 & :5 ! latt] is bru%$ or comb$1 fall ov] ! %\ld]s4 ,if ^u ! face1 9 addition to ! scal9ess1 ! sebace\s ducts are usually se5 to be enl>g$ & fill$ ) sebace\s matt]4 ,describe ! symptoms ( ! ord9>y or mix$ type4 ,x is common ^u ! scalp4 ,! sk9 is cov]$ ) irregul>ly diffus$1 greasy1 grayi% or br[ni% scales & cru/s1 9 "s cases mod]ate 9 quantity1 9 o!rs s great t l>ge irregul> masses are =m$1 pa/+ ! hair to ! scalp4 ,if remov$1 ! scales & cru/s rapidly re-=m4 ,! sk9 b5ea? is f\nd slate-color$1 hyp]aemic or mildly inflammatory1 & exceptionally x has 9 places an eczemat\s aspect 7eczema seborrhoicum74 ,extrane\s matt]1 su* z du/ & dirt1 collects ^u ! p>ts1 & ! :ole mass may become m or less (f5sive4 ,!re is a /rong t5d5cy to fall+-out ( ! hair4 ,it*+ may or may n be pres5t4 ,illu/ration3 ,seborrhoea 7,eczema ,seborrhoicum74 ,describe ! symptoms ( seborrhoea ( ! trunk & o!r p>ts4 ,illu/ration3 ,fig4 #g4 ,a normal sebace\s gl& 9 connection ) a lanugo hair4 7,aft] ,neumann47 a1 ,capsule2 b1 fatty secretion2 c1 h1 secret+ cells2 d1 root ( lanugo hair2 e1 hair-sac2 f1 hair-%aft2 g1 ac9i ( sebace\s gl&4 ,seborrhoea corporis diff]s 9 a measure1 9 its symptoms1 f seborrhoea ( ! scalp & is usually illu/rative ( ! v>iety kn[n z eczema seborrhoicum2 x occurs z "o or sev]al irregul> or circ9ate1 slightly hyp]aemic or mod]ately inflammatory pat*es1 cov]$ ) dirty or grayi%-look+ greasy scales or cru/s1 usually mod]ate 9 quantity1 & ^u removal are f\nd to h projections into ! sebace\s ducts4 ,x is commonly se5 ^u ! /]nal & int]scapul> regions4 ,x r>ely exi/s indep5d5tly 9 ^! regions1 be+ usually associat$ ) & foll[+ ! disease on ! scalp4 ,x may also invade ! axillae1 g5itocrural1 & o!r regions4 ,:at is ! usual c\rse ( seborrhoea8 ,ess5tially *ronic1 ! disease v>y+ 9 int5sity f "t to "t4 ,9 occasional in/ances x disappe>s spontane\sly4 ,give ! cause or causes ( seborrhoea4 ,g5]al debility1 anaemia1 *lorosis1 dyspepsia1 & simil> conditions are to be v>i\sly look$ ^u z pr$ispos+4 ,9 "s in/ances1 h[ev]1 ! disease seems to be purely local 9 "*1 & to be entirely indep5d5t ( any con/itutional or pr$ispos+ condition4 ,! view rec5tly advanc$ t ! disease is ( p>asitic nature & contagi\s has be5 /eadily ga9+ gr\nd4 ,:at is ! pa?ology ( seborrhoea8 ,seborrhoea is a disease ( ! sebace\s gl&s1 & probably (t5 involv+ ! sweat-gl&s also2 its products1 z f\nd ^u ! sk91 consi/+ ( ! sebace\s secretion1 epi!lial cells f ! gl&s & ducts1 & m or less extrane\s matt]4 ,n infrequ5tly evid5ces ( sup]ficial inflammatory action are also to be f\nd1 & x is especially = ?is type t ! "n eczema seborrhoicum is mo/ appropriate4 ,9 long-cont9u$ & neglect$ cases slight atrophy ( ! gl&-/ructures may occur4 ,) :at diseases are y likely to conf\nd seborrhoea8 ,^u ! scalp1 ) eczema & psoriasis2 ^u ! face1 ) lupus ery!matosus & eczema2 & ^u ! trunk1 ) psoriasis & r+worm4 ,z a rule1 ! cl9ical features ( seborrhoea are suffici5tly *>act]i/ic to prev5t error4 ,:at are ! diff]5tial po9ts8 ,eczema1 psoriasis1 & lupus ery!matosus are diseases 9 :i* !re are di/9ct inflammatory symptoms1 su* z ?ick5+ & infiltration & r$ness2 moreov]1 psoriasis1 & ?is holds true z to r+worm also1 occurs 9 %>ply-def9$1 circumscrib$ pat*es1 & lupus ery!matosus has a peculi> violace\s t9t & an elevat$ & m>g9ate bord]4 ,a microscopic exam9ation ( ! epid]mic scrap+s w\ld be ( crucial value 9 diff]5tiat+ f r+worm4 ,q frequ5tly1 especially 9 ! int]scapul> & /]nal regions1 ! segm5tal configuration con/itutes an important feature ( seborrhoea--( ! eczema seborrhoicum v>iety4 ,:at is ! prognosis 9 seborrhoea8 ,favorable4 ,all types are curable1 & :5 ^u ! non-hairy regions1 usually readily s2 ^u ! scalp x is (t5 ob/9ate4 ,relapses are n uncommon4 ,9 ^? cases ( seborrhoea capitis :i* h be5 long-cont9u$ or neglect$1 & att5d$ ) loss ( hair1 ?is loss may be m or less p]man5t1 al?\gh ord9>ily mu* c be done to promote a regr[? 7see ,treatm5t ( ,alopecia74 ,h[ w\ld y treat seborrhoea ( ! scalp8 ,by con/itutional 7if indicat$7 & local rem$ies2 ! =m] hav+ 9 view correction or modification ( ! pr$ispos+ factor or factors1 & ! latt] removal ( ! sebace\s accumulations & ! application ( mildly /imulat+ antiseptic o9tm5ts or lotions4 ,:at con/itutional rem$ies are commonly employ$8 ,! v>i\s tonics1 su* z iron1 qu99e1 /ry*nia1 cod-liv] oil1 ars5ic1 ! vegetable bitt]s1 laxatives1 malt & simil> prep>ations4 ,! l9e ( treatm5t is to be bas$ ^u indications4 ,h[ d y free ! scalp ( ! sebace\s accumulations8 ,9 mild types ( ! disease %ampoo+ ) simple ,ca/ile soap 7or any o!r good toilet soap7 & hot wat] w suffice2 9 ^? cases 9 :i* !re is consid]able scale-& cru/-=mation ! t9cture ( gre5 soap 7t9ct4 saponis viridis7 is to be employ$ 9 place ( ! toilet soap1 & 9 "s ( ^! latt] cases x may be necess>y to s(t5 ! cru/s ) a previ\s soak+ ) olive oil4 ,! frequ5cy ( ! %ampoo dep5ds ^u ! conditions4 ,9 mild cases once 9 five or t5 days w be suffici5tly frequ5t to keep ! p>ts clean1 b 9 ^? cases 9 :i* !re is rapid scale-or cru/-production once daily or e second day may at fir/ be dem&$4 ,"n ! mo/ effectual applications 9 seborrhoea capitis4 ,sulphur1 ammoniat$ m]cury1 salicylic acid1 resorc91 & c>bolic acid4 ,sulphur is us$ 9 ! =m ( an o9tm5t1 f tw5ty gra9s to "o dra*m 9 ! ounce4 ,ammoniat$ m]cury1 9 ! =m ( an o9tm5t1 t5 to sixty gra9s to ! ounce4 ,salicylic acid1 ei!r alone z an o9tm5t1 t5 to ?irty gra9s to ! ounce2 or x may (t5 be add$ ) advantage1 9 ! same proportion1 to ! sulphur or ammoniat$ m]cury o9tm5t above nam$4 ,resorc91 ei!r z an o9tm5t1 t5 to ?irty gra9s to ! ounce1 or z an alcoholic or aque\s lotion1 z ! foll[+3-- ,rx ,resorc9i 4444444444444444444444444444 dramj-dramiss4 ,ol4 ric9i 444444444444444444444444444 m9imxxx-fdramij4 ,alcoholis 4444444444444444444444444444 f,oziv4 ,m4 ,c>bolic acid1 to ! am\nt ( t5 to ?irty gra9s1 c be add$ to ?is4 ,if an aque\s lotion is desirable1 !n 9 ! above =mula ! oleum ric9i is replac$ ) glyc]9e1 & ! alcohol ) wat]2 ?ree to five m9ims ( glyc]9e 9 ea* ounce is usually suffici5t1 z a great] quantity makes ! result+ lotion /icky4 ,petrolatum alone1 or ) #aj to #cj p] c5t4 lanol91 is usually ! mo/ satisfactory base = ! o9tm5ts4 ,9 "s cases ( ! inflammatory v>iety ! sk9 is f\nd q irritable1 & ! milde/ applications are at fir/ only admissible4 ,h[ are ! rem$ies to be appli$8 ,a small quantity ( ! lotion1 o9tm5t1 or oil is g5tly appli$ to ! sk92 :5 to ! scalp1 a lotion or oil c be conv5i5tly appli$ by means ( an eye-dropp]4 ,9 ! beg9n+ ( ! treatm5t an application once or twice daily is ord]$2 lat]1 z ! disease becomes less active1 once e second or ?ird day4 ,h[ is seborrhoea ^u o!r p>ts to be treat$8 ,9 ! same g5]al mann] z seborrhoea ( ! scalp1 except t ! local applications mu/ be some:at weak]4 ,! sev]al sulphur lotions employ$ 9 ! treatm5t ( acne 7q4 v47 may also be us$ :5 ! disease is ^u ^! p>ts4 ,9 ob/9ate pat*y cases occasional pa9t+s ) a #bj to #ej p] c5t alcoholic solution ( resorc9 is curative2 foll[+ ! pa9t+ a mild salve %\ld be us$4 ,com$o4 7,synonyms3 ,blackheads2 ,fle%-worms47 ,:at is com$o8 ,com$o is a disord] ( ! sebace\s gl&s1 *>act]iz$ by yell[i% or blacki% p9-po9t or p9-head-siz$ puncta or elevations correspond+ to ! gl&-orifices4 ,at :at age & ^u :at p>ts are com$ones f\nd8 ,usually betwe5 fifte5 & ?irty1 & ^u ! face & upp] "p ( ! trunk1 :]e !y may exi/ sp>sely or 9 great numb]s4 ,!y are occasionally associat$ ) oily seborrhoea1 ! p>ts pres5t+ a greasy or soil$ appe>ance4 ,exceptionally !y occur z di/9ct1 & usually symmetrical1 gr\ps ^u ! =ehead or ! *eeks4 ,on ! upp] trunk s-call$ d\ble & multiple com$o h be5 not$--! two1 ?ree1 or ev5 f\r closely-contigu\s blackheads are1 b5ea? ! surface1 int]communicable1 ! divid+ duct-walls hav+ app>5tly disappe>$ by fusion4 ,describe an individual lesion4 ,x is p9-po9t to p9-head 9 size1 d>k yell[i%1 & usually ) a c5tral blacki% po9t 7h5ce ! "n blackheads74 ,!re is sc>cely p]ceptible elevation1 unless ! am\nt ( reta9$ secretion is excessive4 ,^u pressure ?is may be eject$1 ! small1 r\nd$ orifice ?r\gh :i* x is express$ giv+ x a ?read-l %ape 7h5ce ! "n fle%-worms74 ,:at is ! usual c\rse ( com$o8 ,*ronic4 ,! lesions may p]si/ indef9itely or ! condition may be some:at v>iable4 ,9 _m in/ances1 ei!r z a result ( pressure or 9 consequ5ce ( *emical *ange 9 ! sebace\s plugs or ( ! addition ( a microbic factor1 inflammation is excit$ & acne results4 ,! two conditions are1 9 fact1 usually associat$4 ,illu/ration3 ,fig4 #h4 ,demodex ,folliculorum1 ,x #cjj4 ,v5tral surface4 7,aft] ,simon47 ,to :at may com$o (t5 be ascrib$8 ,to disord]s ( dige/ion1 con/ipation1 *lorosis1 m5/rual di/urbance1 lack ( tone 9 ! muscul> fibres ( ! sk91 ! infrequ5t use ( soap1 & work+ 9 a dirty or du/y atmosph]e4 ,a small p>asite 7demodex folliculorum1 ac>us folliculorum7 is sometimes f\nd 9 ! sebace\s mass1 b its pres5ce is )\t etiological significance1 z x is also f\nd 9 heal?y follicles4 ,a microbacillus has be5 f\nd by sev]al obs]v]s1 & cr$it$ ) etiological influ5ce4 ,:at is ! pa?ology ( com$o8 ,! sebace\s ducts or gl&s1 or bo?1 become block$ up ) reta9$ secretion & epi!lial cells4 ,! d>k po9ts :i* usually m>k ! lesions are probably due to accumulation ( dirt1 b may1 z "s writ]s ma9ta91 be due to ! pres5ce ( pigm5t-granules result+ f *emical *ange 9 ! sebace\s matt]4 ,is !re any difficulty 9 ! diagnosis ( com$o8 ,no4 ,x c sc>cely be conf\nd$ ) milium1 z 9 ?is latt] disease ! lesion has no op5 outlet1 no black po9t1 & ! cont5ts _c be squeez$ out4 ,give ! prognosis ( com$o4 ,! result ( treatm5t is usually favorable1 al?\gh ! disease is (t5 rebelli\s4 ,relapses are n uncommon4 ,h[ w\ld y treat a case ( com$o8 ,by sy/emic 7if indicat$7 & local measures4 ,! con/itutional treatm5t aims at correction or palliation ( ! pr$ispos+ conditions1 & ! ext]nal applications h 9 view a removal ( ! sebace\s plugs & /imulation ( ! gl&s & sk9 to heal?y action4 ,illu/ration3 ,fig4 #i4 ,com$o ,extractor4 ,"n ! sy/emic rem$ies commonly employ$4 ,cod-liv] oil1 iron1 qu99e1 ars5ic1 nux vomica & o!r tonics2 ergot 9 ^? cases 9 :i* !re is lack ( muscul> tone1 sal9es & ap]i5t pills 9 con/ipation4 ,! dige/ion is to be look$ aft] & ! b[els kept regul>2 indige/ible food ( all k9ds is to be int]dict$4 ,hygi5ic measures1 su* z g5]al & local ba?+1 local massage1 cali/h5ics1 & op5-air ex]cise1 are ( s]vice4 ,describe ! local treatm5t4 ,/eam+ ! face or prolong$ applications ( hot wat]2 wa%+ ) ord9>y toilet soap & hot wat]1 or1 9 sluggi% cases1 us+ t9cture ( gre5 soap 7t9ct4 saponis viridis7 in/ead ( ! toilet soap2 removal ( ! sebace\s plugs by me*anical means1 su* z lat]al pressure ) ! f+] ends or p]p5dicul> pressure ) a wat*-key ) r\nd$ edges1 or ) an in/rum5t specially contriv$ = ?is purpose2 & aft] ^! prelim9>y measures1 :i* %\ld be c>ri$ out e night1 a /imulat+ sulphur o9tm5t or lotion1 su* z employ$ 9 ! treatm5t ( acne 7q4 v471 is to be ?or\ghly appli$4 ,! foll[+ is valuable3-- ,rx ,z9ci sulphatis1 ,potassi sulphureti1 4 aa 4444444 dramj-dramiv4 ,alcoholi 44444444444444444444444444444 f,ozss4 ,aquae1 44444444444444444 q4s4 ad 444444 f,oziv4 ,m4 ,%\ld slight scal9ess or a mild degree ( irritation ( ! sk9 be br\ght ab\t1 active ext]nal treatm5t is to be discont9u$ = a few days & soo?+ applications made4 ,resorc91 9 lotion1 #c to #be p] c5t /r5g?1 is ?r\gh ! exfoliation x provokes1 frequ5tly ( value2 ! resorc9 pa/e ref]r$ to 9 acne c also be us$ = ?is purpose4 ,mod]ately /rong applications ( ! ,f>adic curr5t1 repeat$ once or twice weekly1 are sometimes ( s]vice2 also weak to mod]ately /rong applications ( ! cont9u\s & high-frequ5cy curr5ts4 ,ro5tg5-ray treatm5t c also be resort$ to 9 extremely ob/9ate cases4 ,9 occasional in/ances sulphur prep>ations n only fail to d good1 b mat]ially aggravate ! condition4 ,9 su* cases1 if resorc9 prep>ations also fail1 ! m]curial lotion & o9tm5t employ$ 9 acne may be prescrib$4 ,m]curial & sulphur applications %\ld n be us$1 x ne$ sc>cely be said1 )9 a week or t5 days ( ea* o!r1 o!rwise an increase 9 ! com$ones & a slight d>k5+ ( ! sk9 result f ! =mation ( ! black sulphuret ( m]cury4 ,milium4 7,synonyms3 ,grutum2 ,/rophulus ,albidus47 ,:at is milium8 ,milium consi/s 9 ! =mation ( small1 :iti% or yell[i%1 r\nd$1 pe>ly1 non-inflammatory elevations situat$ 9 ! upp] "p ( ! corium4 ,describe ! cl9ical appe>ances4 ,! lesions are usually p9-head 9 size1 :iti% or yell[i%1 seem+ly m or less transluc5t1 r\nd$ or acum9at$1 )\t ap]ture or duct1 are sup]ficially seat$ 9 ! sk91 & project slightly above ! surface4 ,!y appe> ab\t ! face1 especially ab\t ! eyelids2 !y may occur also1 al?\gh r>ely1 ^u o!r p>ts4 ,b "o or sev]al may be pres5t1 or !y may exi/ 9 numb]s4 ,:at is ! c\rse ( milium8 ,! lesions develop sl[ly1 & may !n rema9 /ation>y = ye>s4 ,_! pres5ce gives rise to no di/urbance1 &1 unless !y are l>ge 9 size or exi/ 9 numb]s1 causes b slight disfigurem5t4 ,illu/ration3 ,fig4 #aj4 ,milium ,ne$le4 ,9 r>e in/ances !y may und]go calc>e\s metamorphosis1 con/itut+ ! s-call$ cutane\s calculi4 ,:at is ! anatomical seat ( milium8 ,! sebace\s gl& 7probably "o or sev]al ( ! sup]ficially-situat$ ac9i71 ! duct ( :i* is 9 "s mann] oblit]at$1 ! sebace\s matt] collects1 becomes inspissat$ & calc>e\s1 =m+ ! p9-head lesion4 ,! epid]mis is ! ext]nal cov]+4 ,:at is ! treatm5t8 ,! usual plan is to prick or incise ea* lesion & press out ! cont5ts4 ,9 "s milia x may be necess>y also1 9 ord] to prev5t a return1 to t\* ! base ( ! excavation ) t9cture ( iod9e or ) silv] nitrate4 ,electrolysis is also effectual4 ,9 ^? cases :]e ! lesions are num]\s ! production ( exfoliation ( ! epid]m by means ( resorc9 applications 7see acne7 is a good plan4 ,/eatoma4 7,synonyms3 ,sebace\s ,cy/2 ,sebace\s ,tumor2 ,w547 ,describe /eatoma4 ,/eatoma1 or sebace\s cy/1 appe>s z a v>i\sly-siz$1 elevat$1 r\nd$ or semi-globul>1 s(t or firm tumor1 freely movable & pa9less1 & hav+ its seat 9 ! corium or subcutane\s tissue4 ,! ov]ly+ sk9 is normal 9 color1 or x may be :iti% or pale f di/5tion2 9 "s a gl&-duct orifice may be se51 b1 z a rule1 ?is is abs5t4 ,:at are ! favorite regions = ! developm5t ( /eatoma8 ,! scalp1 face & back4 ,"o or sev]al may be pres5t4 ,:at is ! c\rse ( sebace\s cy/s8 ,_! gr[? is sl[1 &1 aft] atta9+ a v>iable size1 may rema9 /ation>y4 ,!y may exi/ indef9itely )\t caus+ any inconv5i5ce beyond ! disfigurem5t4 ,exceptionally1 9 enorm\sly di/5d$ gr[?s1 suppuration & ulc]ation result4 ,:at is ! pa?ology8 ,a /eatoma is a cy/ ( ! sebace\s gl& & duct1 produc$ by reta9$ secretion4 ,! cont5ts may be h>d & friable1 s(t & *eesy1 or ev5 fluid1 ( a grayi%1 :iti% or yell[i% color1 & ) or )\t a fetid odor2 ! mass consi/+ ( fat-drops1 epid]mic cells1 *ole/]91 & sometimes hairs4 ,are sebace\s cy/s likely to be conf\nd$ ) gummata8 ,no4 ,gummata gr[ m rapidly1 are usually pa9ful to ! t\*1 are n freely movable1 & t5d to break d[n & ulc]ate4 ,describe ! treatm5t ( /eatoma4 ,a l9e> incision is made1 & ! mass & envelop+ sac dissect$ out4 ,if ! sac is p]mitt$ to rema91 reproduction almo/ inv>iably takes place4 ,,class ,,ii4--,,inflammations4 ,ery!ma ,simplex4 ,:at d y und]/& by ery!ma simplex8 ,ery!ma simplex is a hyp]aemic disord] *>act]iz$ by r$ness1 occurr+ 9 ! =m ( v>i\sly-siz$ & %ap$1 diffus$ or circumscrib$1 non-elevat$ pat*es4 ,"n ! two g5]al classes into :i* ! simple ery!mata are divid$4 ,idiopa?ic & symptomatic4 ,:at d y include 9 ! idiopa?ic class8 ,^? ery!mas due to ext]nal causes1 su* z cold & heat 7ery!ma caloricum71 ! action ( ! sun 7ery!ma sol>e71 traumatism 7ery!ma traumaticum71 & ! v>i\s poisons or *emical irritants 7ery!ma v55atum74 ,:at d y include 9 ! symptomatic class8 ,^? ra%es (t5 prec$+ or accompany+ c]ta9 ( ! sy/emic diseases1 & ^? due to disord]s ( ! dige/ive tract1 /oma*ic & inte/9al tox9s1 to ! +e/ion ( c]ta9 drugs1 & to use ( ! !rapeutic s]ums4 ,describe ! symptoms ( ery!ma simplex4 ,! ess5tial symptom is r$ness--simple hyp]aemia--)\t elevation or infiltration1 disappe>+ "u pressure1 & sometimes att5d$ by slight heat or burn+2 x may be pat*y or diffus$4 ,9 ! idiopa?ic class1 if ! cause is cont9u$1 d]matitis may result4 ,:at is to be said ab\t ! di/ribution ( ! simple ery!mata8 ,! idiopa?ic ra%es1 z inf]r$ f ! nature ( ! causes1 are usually limit$4 ,! symptomatic ery!mas are m or less g5]aliz$2 desquamation sometimes foll[s4 ,describe ! treatm5t ( ! simple ery!mata4 ,a removal ( ! cause 9 idiopa?ic ra%es is all t is ne$$1 ! ery!ma soon] or lat] subsid+4 ,! same may be /at$ ( ! symptomatic ery!mata1 b 9 ^! !re is at times difficulty 9 recogniz+ ! etiological factor2 con/itutional treatm5t1 if necess>y1 is to be bas$ ^u g5]al pr9ciples4 ,inte/9al antiseptics are useful 9 "s in/ances4 ,local treatm5t1 :i* is r>ely ne$$1 consi/s ( ! use ( du/+-p[d]s or mild cool+ & a/r+5t lotions1 su* z are employ$ 9 ! treatm5t ( acute eczema 7q4 v474 ,ery!ma ,int]trigo4 7,synonym3 ,*af+47 ,:at d y und]/& by ery!ma int]trigo8 ,ery!ma int]trigo is a hyp]aemic disord] occurr+ on p>ts :]e ! natural folds ( ! sk9 come 9 contact1 & is *>act]iz$ by r$ness1 to :i* may be add$ an abrad$ surface & mac]ation ( ! epid]mis4 ,describe ! symptoms ( ery!ma int]trigo4 ,! sk9 ( ! involv$ region gradually becomes hyp]aemic1 b is )\t elevation or infiltration2 a feel+ ( heat & sor5ess is usually exp]i5c$4 ,if ! condition cont9ue1 ! increas$ p]spiration & moi/ure ( ! p>ts give rise to mac]ation ( ! epid]mis & a mucoid dis*>ge2 actual inflammation may ev5tually result4 ,:at is ! c\rse ( ery!ma int]trigo8 ,! affection may pass away 9 a few days or p]si/ sev]al weeks1 ! duration dep5d+1 9 a great measure1 ^u ! cause4 ,m5tion ! causes ( ery!ma int]trigo4 ,! causes are usually local4 ,x is se5 *iefly 9 *ildr51 especially 9 fat subjects1 9 :om friction & moi/ure ( contigu\s p>ts ( ! body1 usually ! region ( ! neck1 buttocks & g5italia1 are m common2 9 su*1 uncleanl9ess or ! too free use ( soap wa%+s w (t5 act z ! excit+ factor4 ,disord]s ( ! /oma* or inte/9al canal app>5tly h a pr$ispos+ influ5ce4 ,:at treatm5t w\ld y advise 9 ery!ma int]trigo8 ,! folds or p>ts are to be kept f contact by means ( l9t or absorb5t cotton2 ?91 flat bags ( *eese clo? or simil> mat]ial p>tly fill$ ) du/+-p[d]1 & kept clean by frequ5t *anges1 are excell5t = ?is purpose1 & usually curative4 ,cleanl9ess is ess5tial1 b x is to be kept )9 ! b\nds ( common s5se4 ,du/+-p[d]s & cool+ & a/r+5t lotions1 su* z are employ$ 9 ! treatm5t ( acute eczema 7q4 v471 c also be advis$4 ,! foll[+ lotion is valuable3-- ,rx ,pulv4 calam9ae1 ,pulv4 z9ci oxidi1 44 aa 444444 dramiss4 ,glyc]9ae1 44444444444444444444444444 m9umxxx ,alcoholis1 44444444444444444444444444 fdramij ,aquae1 4444444444444444444444444444444 ,oss4 ,m4 ,exceptionally a mild o9tm5t1 alone or supplem5t>y to a lotion1 acts m satisfactorily4 ,9 p]si/5t or ob/9ate cases att5tion %\ld also be direct$ to ! /ate ( ! g5]al heal?1 especially z reg>ds ! dige/ive tract4 ,ery!ma ,multi=me4 ,:at is ery!ma multi=me8 ,ery!ma multi=me is an acute1 inflammatory disease1 *>act]iz$ by r$di%1 m or less v>iegat$ macules1 papules1 & tub]cles1 occurr+ z discrete lesions or 9 pat*es ( v>i\s size & %ape4 ,^u :at p>ts ( ! body does ! eruption appe>8 ,usually ^u ! extremities1 especially ! dorsal aspect1 f ! knees & elb[s d[n1 & ab\t ! face & neck2 x may1 h[ev]1 be m or less g5]al4 ,describe ! symptoms ( ery!ma multi=me4 ,) or )\t precursory symptoms ( malaise1 ga/ric uneas9ess or rheumatic pa9s1 ! eruption sudd5ly makes its appe>ance1 assum+ an ery!mat\s1 papul>1 tub]cul> or mix$ "*2 z a rule1 "o type ( lesion pr$om9ates4 ,! lesions t5d to increase 9 size & int5sity1 rema9 /ation>y = sev]al days or a week1 & !n gradually fade2 dur+ ?is "t !re may h be5 outbreaks ( new lesions4 ,9 color !y are p9k1 r$1 or violace\s4 ,slight it*+ may or may n be pres5t4 ,exceptionally1 9 g5]al cases1 ! eruption p>takes ( ! nature ( bo? urtic>ia & ery!ma multi=me1 & it*+ may be q a decid$ symptom4 ,9 "s in/ances !re is prec$+ & accompany+ febrile action1 usually slight 9 "*2 9 o!rs !re may be "s rheumatic swell+ ( "o or m jo9ts4 ,illu/ration3 ,fig4 #aa4 ,ery!ma ,multi=me1 9 :i* _m ( ! lesions h become bull\s--,ery!ma ,bullosum4 ,:at type ( ! eruption is mo/ common8 ,! papul>1 appe>+ usually ^u ! backs ( ! h&s & =e>ms1 & n infrequ5tly1 also1 ^u ! face1 legs & feet4 ,! papules are usually pea-siz$1 flatt5$1 & ( a d>k r$ or violace\s color4 ,describe ! v>i\s %apes :i* ! ery!mat\s lesions may assume4 ,(t5 ! pat*es are di/9ctly r+-%ap$1 ) a cle> c5tre--ery!ma annul>e2 or !y are made up ( sev]al conc5tric r+s1 pres5t+ v>iegat$ color+--ery!ma iris2 or a m or less ext5sive pat* may spread ) a %>ply-def9$ bord]1 ! old] "p t5d+ to fade--ery!ma m>g9atum2 or sev]al r+s may coalesce1 ) a disappe>ance ( ! coalesc+ p>ts1 & s]p5t9e l9es or b&s result--ery!ma gyratum4 ,does ! eruption ( ery!ma multi=me ev] assume a vesicul> or bull\s "*8 ,yes4 ,9 exceptional in/ances1 ! inflammatory process may be suffici5tly int5se to produce vesiculation1 usually at ! summits ( ! papules--ery!ma vesiculosum2 & 9 "s in/ances1 blebs may be =m$--ery!ma bullosum4 ,a vesicul> or bull\s lesion may become imm$iately surr\nd$ by a r+-l vesicle or bleb1 & outside ( ?is ano!r =m2 a pat* may be made up ( z _m z sev]al su* r+s--h]pes iris4 ,9 ! vesicul> & bull\s cases ! lips & ! muc\s membranes ( ! m\? & nose also may be ! seat ( simil> lesions4 ,:at is ! c\rse ( ery!ma multi=me8 ,acute1 ! symptoms disappe>+ spontane\sly1 usually 9 "o to ?ree or f\r weeks4 ,9 "s in/ances ! recurr5ces take place s rapidly t ! disease assumes a *ronic aspect2 x is possible t su* cases are midway cases betwe5 ?is disease & d]matitis h]peti=mis4 ,m5tion ! etiological factors 9 ery!ma multi=me4 ,! causes are obscure4 ,dige/ive di/urbance1 rheumatic conditions1 & ! +e/ion ( c]ta9 drugs are at times influ5tial4 ,inte/9al tox9s are d\btless important etiological factors 9 "s cases4 ,c]ta9 foods1 su* z are apt to und]go rapid putrefactive or f]m5tative *ange1 especially pork meats1 oy/]s1 fi%1 crabs1 lob/]s1 etc41 are1 !re=e1 n infrequ5tly ( app>5t causative influ5ce4 ,x is mo/ frequ5tly obs]v$ 9 spr+ & autumn mon?s1 & 9 e>ly adult life4 ,! disease is n uncommon4 ,:at is ! pa?ology ( ery!ma multi=me8 ,x is a mildly inflammatory disord]1 some:at simil> to urtic>ia1 & presumably due to vasomotor di/urbance2 ! am\nt ( exudation1 :i* is v>iable1 det]m9es ! "* ( ! lesions4 ,"n ! diagno/ic po9ts ( ery!ma multi=me4 ,! multi=mity ( ! eruption1 ! size ( ! papules1 (t5 its limitation to c]ta9 p>ts1 its c\rse & ! entire or comp>ative abs5ce ( it*+4 ,x resembles urtic>ia at times1 b ! lesions ( ?is latt] disease are evanesc5t1 disappe>+ & reappe>+ usually 9 ! mo/ caprici\s mann]1 are commonly seat$ ab\t ! trunk1 & are exce$+ly it*y4 ,9 ! vesicul> & bull\s types ! acute "* ( ! outbreak1 ! (t5 segm5tal & r+-l %ape1 _! frequ5t orig9 f ery!mat\s papules1 & ! di/ribution & association ) ! m common manife/ations1 are always sugge/ive4 ,:at prognosis w\ld y give 9 ery!ma multi=me8 ,always favorable2 ! eruption usually disappe>s 9 t5 days to ?ree weeks1 al?\gh 9 r>e in/ances new crops may appe> f day to day or week to week1 & ! process la/ "o or two mon?s4 ,"o or m recurr5ces 9 succe$+ ye>s are n uncommon4 ,^? r>e cases 9 :i* vesicul> or bull\s lesions are also se5 on ! lips & 9 ! m\?1 are m prone to long] duration & to m frequ5t recurr5ces4 ,:at rem$ies are commonly prescrib$ 9 ery!ma multi=me8 ,qu991 &1 if con/ipation is pres5t1 sal9e laxatives4 ,calc9$ magnesia is valuable z a laxative4 ,inte/9al antiseptics1 su* z salol1 ?ymol1 & sodium salicylate1 are valuable 9 cases probably due to inte/9al tox9s4 ,9 ^? exceptional in/ances 9 :i* !re may be associat$ febrile action & rheumatic swell+ ( ! jo9ts1 ! pati5t %\ld be kept 9 b$ till ^! symptoms subside4 ,local applications are r>ely requir$1 b 9 ^? exceptional cases 9 :i* it*+ or burn+ is pres5t1 cool+ lotions ( alcohol & wat] or v9eg> & wat] are to be prescrib$4 ,! vesicul> & bull\s types dem& mild protective applications1 su* z us$ 9 eczema & pemphigus4 ,ery!ma ,nodosum4 7,synonym3 ,d]matitis contusi=mis47 ,:at is ery!ma nodosum8 ,ery!ma nodosum is an inflammatory affection1 ( an acute type1 *>act]iz$ by ! =mation ( v>i\sly-siz$1 r\ndi%1 m or less elevat$ ery!mat\s nodes4 ,is !re any special region ( pr$ilection = ! eruption ( ery!ma nodosum8 ,yes4 ,! tibial surfaces1 to :i* ! eruption is (t5 limit$2 n infrequ5tly1 h[ev]1 o!r p>ts may be involv$1 m especially ! arms & =e>ms4 ,describe ! symptoms ( ery!ma nodosum4 ,! eruption makes its appe>ance sudd5ly1 & is usually u%]$ 9 ) febrile di/urbance1 ga/ric uneas9ess1 malaise1 & rheumatic pa9s & swell+ ab\t ! jo9ts4 ,! lesions v>y 9 size f a *]ry to a h5's egg1 are r\nd$ or ovali%1 t5d] & pa9ful1 h a gli/5+ & t5se look1 & are ( a bright r$1 erysipelat\s color :i* m]ges gradually into ! s\nd sk94 ,at fir/ !y are some:at h>d1 b lat] !y s(t5 & appe> z if ab\t to break d[n1 b ?is1 h[ev]1 nev] occurs1 absorption inv>iably tak+ place4 ,9 occasional in/ances !y are hemorrhagic4 ,exceptionally ! lesions ( ery!ma multi=me are also pres5t4 ,lymphangitis is sometimes obs]v$4 ,9 r>e in/ances symptoms po9t+ to visc]al involvem5t1 to c]ebral invasion1 & to he>t complications h be5 obs]v$4 ,are ! lesions 9 ery!ma nodosum usually num]\s8 ,no4 ,z a rule n m ?an five to tw5ty nodes are pres5t4 ,:at is ! c\rse ( ery!ma nodosum8 ,acute4 ,! disease t]m9at+ usually 9 "o to ?ree weeks4 ,z ! lesions are disappe>+ !y pres5t ! v>i\s *anges ( color obs]v$ 9 an ord9>y bruise4 ,:at is kn[n 9 reg>d to ! etiology8 ,! affection is closely alli$ to ery!ma multi=me1 & is1 inde$1 by "s consid]$ a =m ( t disease4 ,x occurs mo/ frequ5tly 9 *ildr5 & "y adults1 & usually 9 ! spr+ & autumn mon?s4 ,inte/9al tox9s are ?\ght responsible 9 "s cases4 ,dige/ive di/urbance & rheumatic pa9 & swell+s are (t5 associat$ ) x4 ,by _m ! malady is ?\ght to be a specific infection4 ,:at is ! pa?ology ( ery!ma nodosum8 ,! disease is to be view$ z an inflammatory oedema1 probably result+1 9 "s in/ances at lea/1 f an inflammation ( ! lymphatics or an embolism ( ! cutane\s vessels4 ,:at diseases may ery!ma nodosum resemble8 ,bruises1 abscesses1 & gummata4 ,h[ are ! lesions ( ery!ma nodosum to be di/+ui%$ f ^! sev]al conditions8 ,by ! bright r$ or rosy t9t1 ! app>5tly viol5t "* ( ! process1 ! numb]1 situation & c\rse ( ! lesions4 ,/ate ! prognosis ( ery!ma nodosum4 ,favorable1 recov]y usually tak+ place 9 t5 days to sev]al weeks4 ,/ate ! treatm5t to be advis$ 9 ery!ma nodosum4 ,re/1 relative or absolute1 dep5d+ ^u ! sev]ity ( ! case1 & an un/imulat+ diet2 int]nally inte/9al antiseptics1 qu99 & sal9e laxatives1 & locally applications ( lead-wat] & laudanum4 ,ery!ma ,induratum4 7,synonym3 ,ery!ma induratum scr(ulosorum47 ,:at d y und]/& by ery!ma induratum8 ,a r>e disease *>act]iz$ 9 ! beg9n+ by "o or m usually deep-seat$ nodules1 &1 z a rule1 seat$ 9 ! legs1 especially ! calf region4 ,! nodules gradually enl>ge1 ! sk9 becomes r$di%1 violace\s or livid 9 color4 ,absorption may take place sl[ly1 or ! indurations may break d[n1 result+ 9 an indol5t1 r deep-seat$ ulc]1 closely resembl+ a gummat\s ulc]4 ,! disease is sl[ & p]si/5t1 & is commonly met ) 9 girls & "y wom51 usually ( /rum\s type4 ,x sugge/s a tub]cul\s orig94 ,treatm5t consi/s 9 adm9i/ration ( cod-liv] oil1 phosphorus & o!r tonics4 ,re/ is ( s]vice4 ,locally antiseptic applications1 & support ) roll] b&age are to be advis$4 ,urtic>ia4 7,synonyms3 ,hives2 ,nettl]a%47 ,give a def9ition ( urtic>ia4 ,urtic>ia is an inflammatory affection *>act]iz$ by evanesc5t :iti%1 p9ki% or r$di% elevations1 or :eals1 v>iable z to size & %ape1 & att5d$ by it*+1 /++ or prick+ s5sations4 ,describe ! symptoms ( urtic>ia4 ,! eruption1 ery!mat\s 9 "* & consi/+ ( isolat$ pea or bean-siz$ elevations or ( l9e> /reaks or irregul> pat*es1 limit$ or m or less g5]al1 & usually int5sely it*y1 makes its appe>ance sudd5ly1 ) or )\t symptoms ( prec$+ ga/ric d]angem5t4 ,! lesions are s(t or firm1 r$di% or p9ki%-:ite1 ) ! p]iph]al portion ( a bright r$ color1 & are fugaci\s 9 "*1 disappe>+ & reappe>+ 9 ! mo/ caprici\s mann]4 ,9 _m cases simply draw+ ! f+] ov] ! sk9 w br+ out irregul> & l9e> :eals4 ,9 exceptional cases ?is peculi> prop]ty is s pron\nc$ & con/ant t at any "t lett]s & o!r symbols may be produc$ at w1 ev5 :5 su* subjects are free f ! ord9>y urtic>ial lesions 7urtic>ia factitia1 d]matographism1 autographism74 ,! muc\s membrane ( ! m\? & ?roat may also be ! seat ( :eals & urtic>ial swell+s4 ,:at is ! ord9>y c\rse ( urtic>ia8 ,acute4 ,! disease is usually at an end 9 sev]al h\rs or days4 ,does urtic>ia always pursue an acute c\rse8 ,no4 ,9 exceptional in/ances ! disease is *ronic1 9 ! s5se t new lesions cont9ue to appe> & disappe> irregul>ly f "t to "t = mon?s or sev]al ye>s1 ! sk9 r>ely be+ entirely free 7*ronic urtic>ia74 ,illu/ration3 ,fig4 #ab4 ,d]matographism4 7,aft] ,c4,n4 ,davis47 ,are subjective symptoms always pres5t 9 urtic>ia8 ,yes4 ,it*+ is commonly a conspicu\s symptom1 al?\gh at times prick+1 /++ or a feel+ ( burn+ con/itutes ! *ief s5sation4 ,9 :at way may ! eruption be atypical8 ,exceptionally ! :eals1 or lesions1 are peculi> z to =mation1 or ano!r condition or disease may be associat$1 h5ce ! v>ieties kn[n z urtic>ia papulosa1 urtic>ia haemorrhagica1 urtic>ia tub]osa1 & urtic>ia bullosa4 ,describe urtic>ia papulosa4 ,urtic>ia papulosa 7=m]ly call$ li*5 urticatus7 is a v>iety 9 :i* ! lesions are small & papul>1 develop+ usually out ( ! ord9>y :eals4 ,!y appe> z a rule sudd5ly1 r>ely 9 great numb]s1 are scatt]$1 & aft] a few h\rs or1 m commonly1 days gradually disappe>4 ,! it*+ is int5se1 & 9 consequ5ce _! apices are excoriat$4 ,sometimes ! papules are capp$ ) a small vesicle 7vesicul> urtic>ia74 ,x is se5 m p>ticul>ly 9 ill-c>$ = & badly-n\ri%$ "y *ildr54 ,describe urtic>ia haemorrhagica4 ,urtic>ia haemorrhagica is *>act]iz$ by lesions simil> to ord9>y :eals1 except t !y are some:at hemorrhagic1 p>tak+1 9 fact1 ( ! nature ( bo? urtic>ia & purpura4 ,describe urtic>ia tub]osa4 ,9 urtic>ia tub]osa ! lesions1 in/ead ( be+ pea- or bean-siz$1 z 9 typical urtic>ia1 are l>ge & node-l 7also call$ giant urtic>ia74 ,:at is acute-circumscrib$ oedema8 ,9 r>e in/ances !re occurs1 along ) ! ord9>y lesions ( ! disease or z its sole manife/ation1 sudd5 & evanesc5t swell+ ( ! eyelids1 e>s1 lips1 tongue1 h&s1 f+]s1 or feet 7urtic>ia oedematosa1 acute circumscrib$ oedema1 angioneurotic oedema74 ,"o or sev]al ( ^! p>ts only may be affect$ at ! "o attack2 9 recurr5ces1 s usual 9 ?is v>iety1 ! same or o!r p>ts may exhibit ! manife/ation4 7,^! oedemat\s swell+s occurr+ alone might be look$ ^u1 z !y are by mo/ obs]v]s1 z an indep5d5t affection1 b its close relation%ip to ord9>y urtic>ia is (t5 evid5t47 ,describe urtic>ia bullosa4 ,urtic>ia bullosa is a v>iety 9 :i* ! inflammatory action has be5 suffici5tly great to give rise to fluid exudation1 ! :eals result+ 9 ! =mation ( blebs4 ,:at is ! etiology ( urtic>ia8 ,any irritation f disease1 functional or organic1 ( any int]nal organ1 may give rise to ! eruption 9 ^? pr$ispos$4 ,ga/ric d]angem5t f indige/ible or peculi> articles ( food1 inte/9al tox9s1 & ! +e/ion ( c]ta9 drugs are (t5 provocative4 ,! s-call$ %ell-fi% gr\p ( foods play an important etiological "p 9 "s cases4 ,idiosyncrasy to c]ta9 articles ( food is also responsible 9 occasional in/ances4 ,v>i\s rheumatic & n]v\s disord]s are n infrequ5tly associat$ ) x1 & are d\btless ( etiological significance4 ,ext]nal irritants1 also1 9 pr$ispos$ subjects1 are at times responsible4 ,:at is ! pa?ology ( urtic>ia8 ,anatomically a :eal is se5 to be a m or less firm elevation consi/+ ( a circumscrib$ or some:at diffus$ collection ( semi-fluid mat]ial 9 ! upp] lay]s ( ! sk94 ,! vasomotor n]v\s sy/em is probably ! ma9 factor 9 its production2 dilatation foll[+ spasm ( ! vessels results 9 effusion1 & 9 consequ5ce1 ! ov]fill$ vessels ( ! c5tral portion are empti$ by pressure ( ! exudation & ! c5tral pal5ess results1 :ile ! press$-back blood gives rise to ! bright r$ p]iph]y4 ,f :at diseases is urtic>ia to be diff]5tiat$8 ,f ery!ma simplex1 ery!ma multi=me1 ery!ma nodosum1 & erysipelas4 ,m5tion ! diagno/ic po9ts ( urtic>ia4 ,! acut5ess1 "* ( ! lesions1 _! evanesc5t nature1 ! irregul> or g5]al di/ribution1 & ! int5se it*+4 ,:at is ! prognosis 9 urtic>ia8 ,! acute disease is usually ( %ort duration1 disappe>+ spontane\sly or z ! result ( treatm5t1 9 sev]al h\rs or days2 x may recur ^u exposure to ! excit+ cause4 ,! prognosis ( *ronic urtic>ia is to be gu>d$1 & w dep5d ^u ! ability to discov] & remove or modify ! pr$ispos+ condition4 ,:at sy/emic measures are to be prescrib$ 9 acute urtic>ia8 ,removal ( ! etiological factor is ( fir/ importance4 ,?is w be f\nd 9 mo/ cases to be ga/ric di/urbance f ! +e/ion ( improp] or indige/ible food1 & 9 su* cases a sal9e purgative is to be giv51 probably ! be/ = ?is purpose be+ ! laxative antacid1 magnesia2 or if ! case is sev]e & food is /ill 9 ! /oma*1 an emetic1 su* z mu/>d or ipecac1 w act m promptly4 ,alkalies1 especially sodium salicylate1 & inte/9al antiseptics are useful4 ,calcium *loride 9 doses ( five to tw5ty gra9s %\ld be tri$ 9 ob/9ate cases4 ,! diet %\ld be1 = ! "t1 ( a simple "*4 ,:at sy/emic measures are to be prescrib$ 9 *ronic & recurr5t urtic>ia8 ,! cause mu/ be s\ght = & treatm5t direct$ t[>d its removal or modification4 ,treatm5t w1 !re=e1 dep5d ^u indications4 ,9 obscure cases1 qu99e1 sodium salicylate1 ars5ic1 piloc>p9e1 atropia1 potassium bromide1 calcium *loride1 & i*?yol are to be v>i\sly tri$2 g5]al galvanization is at times useful1 z is also a *ange ( sc5e & climate4 ,a prop] diet>y & ! ma9t5ance ( free action ( ! b[els1 pref]ably1 z a rule1 ) a sal9e laxative1 is ( great importance 9 ^! *ronic cases4 ,9 acute circumscrib$ oedema treatm5t is ess5tially t ( urtic>ia1 ! diet be+ giv5 special att5tion4 ,:at ext]nal applications w\ld y advise = ! relief ( ! subjective symptoms8 ,cool+ lotions ( alcohol & wat] or v9eg> & wat]2 lotions ( c>bolic acid1 "o to ?ree dra*ms to ! p9t2 ( ?ymol1 "o-f\r? to "o dra*m to ! p9t ( alcohol & wat]2 ( liquor c>bonis det]g5s1 "o to ?ree ounces to ! p9t ( wat]1 or ! foll[+3-- ,rx ,acidi c>bolici1 444444444444444444444 dramj-dramiij ,acidi borici1 444444444444444444444444 dramiv ,glyc]9ae1 444444444444444444444444444 fdramj ,alcoholis1 444444444444444444444444444 f,ozij ,aquae1 44444444444444444444444444444444 f,ozxiv4 ,m4 ,alkal9e ba?s are also useful1 & may advantage\sly be foll[$ by du/+-p[d]s ( />* & z9c oxide4 ,urtic>ia ,pigm5tosa4 7,synonym3 ,xan!lasmoidea47 ,describe urtic>ia pigm5tosa4 ,urtic>ia pigm5tosa is a r>e disease1 v>i\sly view$ z an unusual =m ( urtic>ia & z an urtic>ia-l eruption 9 :i* !re is an elem5t ( new gr[? 9 ! lesions4 ,x beg9s usually 9 infancy or e>ly *ildhood & cont9ues = mon?s or ye>s1 & is *>act]iz$ by slightly1 mod]ately1 or int5sely it*y1 :eal-l elevations1 :i* are m or less p]si/5t & leave yell[i%1 orange-color$1 gre5i% or br[ni% /a9s4 ,exceptionally subjective symptoms are almo/ entirely abs5t4 ,anatomical /udies %[ t ! lesion has 9 "s respects ! /ructure ( an ord9>y :eal1 ) oedema & pigm5t deposit 9 ! epid]mal portion1 & cellul> infiltration made up pr9cipally ( ma/-cells4 ,illu/ration3 ,fig4 #ac4 ,urtic>ia ,pigm5tosa4 ,! nature ( ! disease is obscure & treatm5t unsatisfactory4 ,ord9>ily z e>ly y\? or adult life is rea*$ x spontane\sly disappe>s4 ,! treatm5t advis$ is usually on ! same l9es z t ( *ronic urtic>ia4 ,d]matitis4 ,:at is impli$ by ! t]m d]matitis8 ,d]matitis1 or inflammation ( ! sk91 is a t]m employ$ to designate ^? cases ( cutane\s di/urbance1 usually acute 9 "*1 :i* are due to ! action ( irritants4 ,m5tion "s examples ( cutane\s di/urbance to :i* ?is t]m is appli$4 ,! d]matic inflammation due to ! action ( excessive heat or cold1 to cau/ics & o!r *emical irritants1 & to ! +e/ion ( c]ta9 drugs4 ,:at sev]al v>ieties are commonly describ$8 ,d]matitis traumatica1 d]matitis calorica1 d]matitis v55ata1 & d]matitis m$icam5tosa4 ,describe d]matitis traumatica4 ,"u ?is head are includ$ all =ms ( cutane\s inflammation due to traumatism4 ,to ! d]matologi/ ! mo/ common met ) is t produc$ by ! v>i\s animal p>asites & f cont9u$ scrat*+2 9 su*1 if ! cause has be5 long-cont9u$ & p]si/5t1 a v>iable degree ( inflammatory ?ick5+ ( ! sk9 & pigm5tation result1 ! latt] n infrequ5tly be+ m or less p]man5t4 ,! inflammation due to tight-fitt+ g>m5ts1 b&ages1 to con/ant pressure 7z b$-sores71 etc41 also illu/rates ?is class4 ,:at is ! treatm5t ( d]matitis traumatica8 ,removal ( ! cause1 &1 if necess>y1 ! application ( soo?+ o9tm5ts or lotions2 9 b$-sores1 soap pla/]1 pla9 or ) "o to five p] c5t4 ( i*?yol4 ,:at is d]matitis calorica8 ,cutane\s inflammation1 v>y+ f a slight ery!mat\s to a gangr5\s "*1 produc$ by excessive heat 7d]matitis ambu/ionis1 burns7 or cold 7d]matitis congelationis1 fro/bite74 ,give ! treatm5t ( d]matitis calorica4 ,9 burns1 if ( a mild degree1 ! application ( sodium bic>bonate1 z a p[d] or saturat$ solution1 is useful2 9 ! m sev]e grade1 a two- to five-p]-c5t4 solution w probably be f\nd ( great] advantage4 ,o!r soo?+ applications may also be employ$4 ,9 rec5t ye>s a "o-p]-c5t4 solution ( picric acid has be5 comm5d$ = ! slight] burns ( limit$ ext5t4 ,^u ! :ole1 !re is no?+ yet s g5]ally useful & soo?+ 9 ^! cases z ! s-call$ ,c>ron oil2 9 "s cases m valuable ) #a_/b to #a m9im ( c>bolic acid add$ to ea* ounce4 ,9 fro/bite1 se5 imm$iately aft] exposure1 ! p>ts are to be br\ght gradually back to a normal temp]ature1 at fir/ by rubb+ ) sn[ or apply+ cold wat]4 ,subsequ5tly1 9 ord9>y *ilbla9s1 /imulat+ applications1 su* z oil ( turp5t9e1 balsam ( ,p]u1 t9cture ( iod9e1 i*?yol1 & /rongly c>boliz$ o9tm5ts are ( mo/ b5efit4 ,if ! fro/bite is ( a vesicul>1 pu/ul>1 bull\s1 or es*>otic "*1 ! treatm5t consi/s 9 ! application ( soo?+ rem$ies1 su* z are employ$ 9 o!r l inflammatory conditions4 ,:at d y und]/& by d]matitis v55ata8 ,all inflammatory conditions ( ! sk9 due to contact ) delet]i\s sub/ances su* z cau/ic1 *emical irritants1 iod(orm1 etc41 are includ$ "u ?is head1 b ! mo/ common causes are ! rhus plants--poison ivy 7or poison oak7 & poison suma* 7poison dogwood74 ,m]e proximity to ^! plants w1 9 "s individuals1 provoke cutane\s di/urbance 7rhus poison+1 ivy poison+71 al?\gh !y may be h&l$ by o!rs ) impunity4 ,_m o!r plants are also kn[n to produce cutane\s irritation 9 c]ta9 subjects2 among ^! may be m5tion$ ! nettle1 primrose1 c[hage1 sm>twe$1 balm ( ,gilead1 ole&]1 & rue4 ,! local action ( iod(orm 7iod(orm d]matitis7 9 "s individuals is t ( a decid$ irritant1 br++ ab\t a d]matitis1 :i* (t5 spreads mu* beyond ! p>ts ( application1 & :i* 9 ^? eczemat\sly incl9$ may result 9 a v]itable & p]si/5t eczema4 ,describe ! symptoms ( rhus poison+4 ,! symptoms appe> usually soon aft] exposure1 & consi/ ( an inflammatory condition ( ! sk9 ( an eczemat\s nature1 v>y+ 9 degree f an ery!mat\s to a bull\s "*1 & ) or )\t oedema & swell+4 ,z a rule1 m>k$ it*+ & burn+ are pres5t4 ,! face1 h&s1 =e>ms & g5italia are favorite p>ts1 al?\gh x may 9 _m in/ances involve a great] portion ( ! :ole surface4 ,:at is ! c\rse ( rhus poison+8 ,x runs an acute c\rse1 t]m9at+ 9 recov]y 9 "o to six weeks4 ,9 ^? eczemat\sly incl9$1 h[ev]1 x may result 9 a v]itable & p]si/5t =m ( t disease4 ,h[ w\ld y treat rhus poison+8 ,by soo?+ & a/r+5t applications1 su* z are employ$ 9 acute eczema 7q4 v471 :i* are to be us$ freely4 ,among ! mo/ valuable are3 a lotion ( fluid extract ( gr9delia robu/a1 "o to two dra*ms to f\r ounces ( wat]2 lotio nigra1 ei!r alone or foll[$ by ! oxide-(-z9c o9tm5t2 a saturat$ solution ( boric acid1 ) a half to two dra*ms ( c>bolic acid to ! p9t2 a lotion ( z9c sulphate1 a half to f\r gra9s to ! ounce2 weak alkal9e lotions2 cold cream1 petrolatum1 & oxide-(-z9c o9tm5ts4 ,h[ w\ld y treat ! d]matitis due to o!r delet]i\s sub/ances ( ?is class8 ,by applications ( a soo?+ & protective "*1 simil> to ^? us$ 9 eczema & burns4 ,d]matitis ,m$icam5tosa4 ,:at d y und]/& by d]matitis m$icam5tosa8 ,"u ?is head are includ$ all eruptions due to ! +e/ion or absorption ( c]ta9 drugs4 ,9 r>e in/ances "o dose w h su* effect2 commonly1 h[ev]1 x results only aft] sev]al days' or weeks' cont9u$ adm9i/ration4 ,) "s drugs su* effect is ! rule1 ) o!rs x is exceptional1 nor are all individuals equally susceptible4 ,h[ is ! eruption produc$ 9 d]matitis m$icam5tosa8 ,9 "s in/ances x is probably due to ! elim9ation ( ! drug ?r\gh ! cutane\s /ructures2 9 o!rs1 to ! action ( ! drug ^u ! n]v\s sy/em4 ,! view t ! drug acts z a tox9 or g5]ates "s tox9 or irritant mat]ial 9 ! blood1 to :i* ! eruptive ph5om5a may be due1 has also be5 advanc$4 ,illu/ration3 ,d]matitis m$icam5tosa4 ,bull\s d]matitis f iodide ( potassium4 ,:at is ! "* ( ! eruption 9 d]matitis m$icam5tosa8 ,x may be ery!mat\s1 papul>1 urtic>ial1 vesicul>1 pu/ul> or bull\s1 &1 if ! adm9i/ration ( ! drug is cont9u$1 ev5 gangr5\s4 ,"n ! m common drugs hav+ su* action4 ,antipyr91 ars5ic1 atropia 7or belladonna71 bromides1 *loral1 copaiba1 cubebs1 digitalis1 iodides1 m]cury1 opium 7or morphia71 qu99e1 salicylic acid1 /ramonium1 acetanilid1 sulphonal1 ph5acet91 turp5t9e1 _m ( ! new coal-t> d]ivatives1 etc4 ,/ate frequ5cy & types ( eruption due to ! +e/ion ( antipyr94 ,n uncommon4 ,ery!mat\s1 morbilli=m & ery!mato-papul>2 it*+ is usually pres5t & mod]ate desquamation may foll[4 ,acetanilid1 sulphonal1 ph5acet91 & o!r drugs ( ?is class may provoke l eruptions4 ,m5tion frequ5cy & types ( eruption due to ! +e/ion ( ars5ic4 ,r>e4 ,ery!mat\s1 ery!mato-papul>2 exceptionally1 h]petic1 & pigm5t>y4 ,h]pes zo/] has be5 ?\ght to foll[ its use4 ,k]atosis ( ! palms & soles has also be5 occasionally obs]v$1 :i*1 9 r>e in/ances1 has develop$ into epi!lioma4 ,m5tion frequ5cy & types ( eruption due to ! +e/ion ( atropia 7or belladonna74 ,n uncommon4 ,ery!mat\s & sc>lat9oid2 usually no febrile di/urbance1 & desquamation seldom foll[s4 ,give frequ5cy & types ( cutane\s di/urbance foll[+ ! adm9i/ration ( ! bromides 7brom9e74 ,common4 ,pu/ul>1 sometimes furuncul> & c>buncul> & sup]ficially ulc]ative4 ,9 exceptional in/ances papillomat\s or vegetat+ lesions h be5 obs]v$4 ,co-adm9i/ration ( ars5ic or potassium bit>trate is ?\ght to h a prev5tive influ5ce 9 "s cases4 ,/ate frequ5cy & types ( cutane\s di/urbance due to ! adm9i/ration ( *loral4 ,occasional4 ,sc>lat9oid & urtic>ial1 & exceptionally purpuric2 9 r>e in/ances1 if drug is cont9u$1 eruption becomes vesicul>1 hemorrhagic1 ulc]ative & ev5 gangr5\s4 ,/ate frequ5cy & types ( eruption foll[+ ! adm9i/ration ( copaiba4 ,n uncommon4 ,urtic>ial1 ery!mato-papul> & sc>lat9oid4 ,m5tion frequ5cy & types ( eruption result+ f ! +e/ion ( cubebs4 ,uncommon4 ,ery!mat\s & small papul>4 ,illu/ration3 ,fig4 #ad4 ,a some:at r>e =m ( eruption f ! +e/ion ( iod9e comp\nds4 7,aft] ,j4,c4 ,mc,guire47 ,m5tion frequ5cy & types ( eruption result+ f ! adm9i/ration ( digitalis4 ,exceptional4 ,sc>lat9oid & papul>4 ,/ate frequ5cy & types ( eruption result+ f ! iodides 7iod9e74 ,common4 ,pu/ul>1 b may be ery!mat\s1 papul>1 vesicul>1 bull\s1 tub]\s1 purpuric & hemorrhagic4 ,co-adm9i/ration ( ars5ic or potassium bit>trate is ?\ght to h a prev5tive influ5ce 9 "s cases4 ,give ! frequ5cy & types ( eruption obs]v$ to foll[ ! adm9i/ration ( m]cury4 ,exceptional4 ,ery!mat\s & erysipelat\s4 ,give ! frequ5cy & types ( ! cutane\s di/urbance foll[+ ! +e/ion ( opium 7or morphia74 ,n uncommon4 ,ery!mat\s & sc>lat9oid1 & sometimes urtic>ial4 ,m5tion ! frequ5cy & ! types ( eruption foll[+ ! adm9i/ration ( qu99e4 ,n infrequ5t4 ,usually ery!mat\s1 b may be urtic>ial1 ery!mato-papul>1 & ev5 purpuric4 ,!re is1 9 "s in/ances1 prec$+ or accompany+ sy/emic di/urbance4 ,furfurace\s or lamell> desquamation (t5 foll[s4 ,/ate frequ5cy & types ( eruption result+ f ! +e/ion ( salicylic acid4 ,n common4 ,ery!mat\s & urtic>ial2 exceptionally1 vesicul>1 pu/ul>1 bull\s1 & ec*ymotic4 ,give frequ5cy & type ( cutane\s di/urbance due to ! adm9i/ration ( /ramonium4 ,n common4 ,ery!mat\s4 ,/ate frequ5cy & types ( eruption result+ f ! adm9i/ration ( turp5t9e4 ,n uncommon4 ,ery!mat\s1 & small-papul>2 exceptionally vesicul>4 ,x-,ray ,d]matitis4 ,:at sev]al grades ( x-ray d]matitis 7x-ray burns1 ,rontg5-ray burns7 are obs]v$8 ,?ree grades are usually describ$3 ery!ma1 sup]ficial vesication1 & necrosis4 ,! fir/ & second may come on %ortly--a few h\rs to sev]al days--aft] exposure2 occasionally lat]4 ,! ?ird grade may pres5t also 9 ! fir/ sev]al days1 b 9 _m cases "o to sev]al weeks may elapse be=e x appe>s2 x is q commonly prec$$ by ery!ma & vesication4 ,! necrosis may be sup]ficial or deep1 & q usually results 9 a p]si/5t ulc] cov]$ by a lea!ry coat+2 x is usually pa9ful4 ,illu/ration3 ,fig4 #ae4 x-ray burn ,give ! prognosis & treatm5t ( x-ray d]matitis4 ,! fir/ grade--! ery!mat\s--usually disappe>s 9 "o to t5 days2 ! second grade requires "o to sev]al weeks1 & may be q sore & t5d]2 ! sev]e or necrotic burns are p]si/5t1 sometimes la/+ = mon?s & sev]al ye>s1 ) little t5d5cy to spontane\s disappe>ance1 & rebelli\s to treatm5t4 ,treatm5t ( ! mild] types is t ( ery!ma 7q4 v472 ! necrotic type occasionally dem&s ?or\gh curett+ & sk9-graft+ be=e x w heal4 ,d]matitis ,factitia4 7,synonym3 ,feign$ ,eruptions47 ,:at d y und]/& by feign$ eruptions8 ,feign$1 or artificial1 eruptions1 occasionally met ) 9 hy/]ical females & 9 o!rs1 are produc$1 = ! purpose ( excit+ sympa?y or ( deception1 by ! action ( friction1 can?>ides1 acids or /rong alkalies2 ! cutane\s di/urbance may1 !re=e1 be ery!mat\s1 vesicul>1 bull\s1 or gangr5\s4 ,x is usually limit$ 9 ext5t1 &1 z a rule1 se5 only on p>ts easily rea*$ by ! h&s4 ,illu/ration3 ,fig4 #af4 ,d]matitis ,factitia--note ! unusually uni=m & regul> "* & arrangem5t ( ! lesions4 ,d]matitis ,gangra5osa4 ,:at d y und]/& by d]matitis gangra5osa8 ,d]matitis gangra5osa 7ery!ma gangra5osum1 ,raynaud's disease1 spontane\s gangr5e7 is an exce$+ly r>e affection1 *>act]iz$ by ! =mation ( gangr5\s spots & pat*es4 ,x may be idiopa?ic or symptomatic4 ,"s ( ^! cases1 especially 9 hy/]ical subjects1 belong "u ! feign$ eruptions1 be+ self-produc$4 ,z an idiopa?ic disease1 x beg9s z ery!mat\s1 d>k-r$ spots--usually prec$$ & accompani$ by mild or grave sy/emic di/urbance--:i* gradually pass into gangr5e & sl\gh+2 ! ev5tual t]m9ation may be fatal1 or recov]y may take place4 ,z a symptomatic disease1 x is occasionally met ) 9 diabetes & 9 grave c]ebral & sp9al affections4 ,9 ,raynaud's disease 7symmetric gangr5e7 ! p>ts affect$ are ! extremities1 su* z f+]s & toes1 ! e>s & nose1 only occasionally o!r p>ts4 ,! fir/ symptoms obs]v$ are coldness & pal5ess ( ! "p2 foll[$ soon] or lat] by conge/ion ( a d>k r$1 livid1 or blui% color1 ) sometimes swell+1 & t5d]ness & %oot+ pa9s4 ,! t]m9ation is usually 9 gangr5e ( a dry "*1 )1 9 "s in/ances1 vesicles & blebs along ! edges2 9 o!r cases ! p>ts become atrophi$1 )]$1 & indurat$4 ,treatm5t is bas$ ^u g5]al pr9ciples4 ,erysipelas4 ,:at is erysipelas8 ,erysipelas is an acute specific inflammation ( ! sk9 & subcutane\s tissue1 commonly ( ! face1 *>act]iz$ by %9+ r$ness1 swell+1 oedema1 heat1 & a t5d5cy 9 "s cases to vesicle- & bleb-=mation1 & accompani$ by m or less febrile di/urbance4 ,describe ! symptoms & c\rse ( erysipelas4 ,a decid$ rigor or a feel+ ( *ill9ess foll[$ by febrile action usually u%]s 9 ! cutane\s di/urbance4 ,! sk9 at a c]ta9 po9t or "p1 commonly :]e !re is a lesion ( cont9uity1 becomes bright r$ & swoll52 ?is spreads by p]iph]al ext5sion1 & 9 ! c\rse ( sev]al h\rs involves a portion or ! :ole region4 ,! p>ts are %9+ r$1 swoll51 ( an elevat$ temp]ature1 & %>ply def9$ aga9/ ! s\nd sk94 ,aft] sev]al days or a week1 dur+ :i* "t !re is usually cont9u$ mild or sev]e febrile action1 ! process beg9s to subside1 & is foll[$ by epid]mic desquamation4 ,9 "s cases vesicles & blebs may be pres5t2 9 o!r cases ! disease s]i\sly involves ! deep] p>ts1 & is accompani$ by grave con/itutional symptoms4 ,9 exceptional in/ances sl\gh+ takes place4 ,a mild1 transitory1 limit$1 & (t5 recurr5t erysipelat\s condition ( ! outlet & imm$iate neighborhood ( "o or bo? no/rils is met )1 tak+ its orig9 f an inflammation ( ! hair-follicles j inside ! m>g9 ( ! nose2 con/itutional symptoms are usually want+4 ,some:at simil>1 d\btless1 is ! erysipelat\s inflammation 7erysipeloid7 obs]v$ on ! f+]s & h&s ( but*]s1 etc41 />t+ f a w\nd1 app>5tly z a result ( infection f putrid meat or fi%4 ,:at is erysipelas migrans 7or erysipelas ambulans78 ,a v>iety ( erysipelas :i*1 aft] a few h\rs or days1 disappe>s at "o region & appe>s at ano!r1 & s cont9ues = "o or sev]al weeks4 ,:at is ! cause ( erysipelas8 ,! disease is due to a specific /reptococcus--! /reptococcus ( ,fehleis54 ,depression ( ! vital =ces & local abrasions are pr$ispos+ factors4 ,/ate ! diagno/ic po9ts4 ,! "* ( ! onset1 ! %9+ r$ness & swell+1 ! %>ply-def9$ bord]1 & ! accompany+ febrile di/urbance4 ,:at is ! prognosis 9 erysipelas8 ,9 mo/ in/ances ! disease runs a favorable c\rse1 t]m9at+ 9 recov]y 9 "o to ?ree weeks4 ,exceptionally1 9 sev]e cases1 a fatal t]m9ation ensues4 ,:at is ! treatm5t ( erysipelas8 ,int]nally1 a purge1 foll[$ by ! t9cture ( ! *loride ( iron & qu9ia1 & /imulants if ne$$4 ,locally1 "o to ?ree p] c5t4 c>bolic-acid lotion or o9tm5t1 a saturat$ solution ( boric acid1 or a t5- to tw5ty-p]-c5t4 aque\s solution or o9tm5t ( i*?yol may be employ$4 ,9 "s cases ! spread ( ! disease is app>5tly controll$ by pa9t+ ! bord]+ heal?y sk9 ) a r+ ( t9cture ( iod9e or /rong solution ( nitrate ( silv]4 ,phlegmona ,diffusa4 ,:at d y und]/& by phlegmona diffusa8 ,phlegmona diffusa is a m or less ext5sive inflammation ( ! cutane\s & subcutane\s tissues pres5t+ symptoms p>tak+ ( ! nature ( bo? deep erysipelas & flat c>buncles1 & usually att5d$ ) v>y+ con/itutional di/urbance4 ,suppuration at sev]al po9ts takes place1 & sl\gh+ may ensue4 ,recov]y usually f9ally results1 b a fatal issue is possible4 ,treatm5t is bas$ ^u g5]al pr9ciples4 ,furunculus4 7,synonyms3 ,furuncle2 ,boil47 ,def9e furunculus4 ,furunculus1 or boil1 is an acute1 deep-seat$1 inflammatory1 circumscrib$1 r\nd$ or m or less acum9at$1 firm1 pa9ful =mation1 usually t]m9at+ 9 c5tral suppuration4 ,describe ! symptoms & c\rse4 ,a boil beg9s z a small1 r\nd$ or imp]fectly def9$ r$di% spot1 or z a small1 sup]ficial pu/ule2 x increases 9 size1 & :5 well advanc$ appe>s z a pea or *]ry-siz$1 circumscrib$1 r$di% elevation1 ) m or less surr\nd+ hyp]aemia & swell+2 x is pa9ful & t5d]1 & ends1 9 ! c\rse ( sev]al days or a week1 9 ! =mation ( a c5tral sl\gh or core1 :i* f9ally involves ! c5tral ov]ly+ sk9 7po9t+74 ,"o or sev]al may be pres5t1 gradually matur+ & disappe>+4 ,insignificant sc>r+ may rema94 ,9 "s cases sympa!tic con/itutional di/urbance is notic$4 ,:at is a bl9d boil8 ,a sluggi% boil exhibit+ little1 if any1 t5d5cy to po9t or break4 ,:at is furunculosis8 ,furunculosis is t condition 9 :i* boils1 s+ly or 9 crops1 cont9ue to appe>1 irregul>ly1 = weeks or mon?s4 ,/ate ! etiology ( furuncle4 ,a deprav$ /ate ( ! g5]al heal? is (t5 to be consid]$ z a pr$ispos+ factor4 ,p]si/5t furunculosis is n infrequ5t 9 diabetes mellitus4 ,! imm$iate excit+ cause is ! entrance into ! follicle ( a microbe1 ! /aphylococcus pyog5es aureus4 ,x is n improbable1 h[ev]1 t boils may also be due to o!r pus-produc+ organisms4 ,workm5 9 p>aff9 oils or o!r petroleum products (t5 pres5t num]\s furuncles & cutane\s abscesses4 ,conditions favor+ a p]si/5t mili>ia h also a causative influ5ce1 especially obs]v$ 9 infants & "y *ildr54 ,9 ^! latt]1 especially among ! poor] classes1 sluggi% boils or subcutane\s abscesses ab\t ! scalp 9 hot wea!r1 are n at all infrequ5t4 ,:at is ! pa?ology ( furuncle8 ,a boil is an inflammatory =mation hav+ its />t+ po9t 9 a sebace\s-gl&1 sweat-gl&1 or hair-follicle4 ,! core1 or c5tral sl\gh1 is compos$ ( pus & ( ! tissue ( ! gl& 9 :i* x _h its orig94 ,h[ w\ld y di/+ui% a boil f a c>buncle8 ,a boil is comp>atively small1 r\nd$ or acum9ate1 & has b "o po9t ( suppuration2 a c>buncle is l>ge1 flatt5$1 int5sely pa9ful1 (t5 ) grave sy/emic di/urbance1 & has1 moreov]1 sev]al c5tres ( suppuration4 ,/ate ! prognosis4 ,:5 occurr+ 9 crops 7furunculosis7 ! affection is (t5 rebelli\s2 recov]y1 h[ev]1 f9ally result+4 ,:at is ! me?od ( treatm5t ( furunculus8 ,if !re be b "o lesion1 ) no t5d5cy to ! appe>ance ( o!rs1 local treatm5t alone is usually employ$4 ,if1 h[ev]1 sev]al or m are pres5t1 or if !re is a t5d5cy to successive developm5t1 bo? con/itutional & local measures are dem&$4 ,"n ! int]nal rem$ies employ$4 ,su* nutri5ts & tonics z cod-liv] oil1 malt1 qu99e1 /ry*nia1 iron & ars5ic2 9 "s in/ances calx sulphurata1 "o-t5?- to "o-f\r?-gra9 doses e ?ree or f\r h\rs has be5 ?\ght to be ( s]vice4 ,brew]s' yea/ has be5 rec5tly aga9 br\ght =w>d z a rem$y ( value4 ,:at is ! ext]nal treatm5t8 ,local treatm5t consi/s 9 ! beg9n+1 ) ! hope ( abort+ ! lesion1 ( ! application ( c>bolic acid to ! c5tral portion1 or ! use ( a tw5ty-five-p]-c5t4 o9tm5t ( i*?yol appli$ z a pla/]3-- ,rx ,i*?yol1 4444444444444444444444444444 dramj ,emp4 plumbi1 444444444444444444444444444 dramij ,emp4 res9ae1 444444444444444444444444444 dramj4 ,m4 ,or ! injection ( a five-p]-c5t4 solution ( c>bolic acid into ! apex ( ! boil may be tri$ if ! =mation is m advanc$4 ,if suppuration is fully e/abli%$1 evacuation ( ! cont5ts1 foll[$ by antiseptic applications1 con/itutes ! be/ me?od4 ,a saturat$ solution ( boric acid or a lotion ( corrosive sublimate 7"o to ?ree gra9s to ! ounce7 appli$ to ! imm$iate neighborhood ( ! boil or boils t5ds to prev5t ! =mation ( new lesions4 ,frequ5t wa%+ ( ! p>ts ) soap & wat] or t9cture ( gre5 soap & wat] is also a prev5tive measure ( value4 ,9 repeat$ly infect$ areas1 mild exposures to x-rays1 at int]vals ( a few days1 w (t5 prove ( curative value4 ,c>bunculus4 7,synonyms3 ,an?rax2 ,c>buncle47 ,:at is c>buncle8 ,a c>buncle is an acute1 usually egg to palm-siz$1 circumscrib$1 phlegmon\s inflammation ( ! sk9 & subcutane\s /ructures1 t]m9at+ 9 a sl\gh4 ,at :at age & ^u :at p>ts is c>buncle usually obs]v$8 ,9 middle & advanc$ life1 & m commonly 9 m54 ,x is se5 mo/ frequ5tly at ! nape ( ! neck & ^u ! upp] "p ( ! back4 ,:at are ! symptoms & c\rse ( c>buncle8 ,!re is r>ely m ?an "o lesion pres5t4 ,x beg9s1 usually ) prec$+ & accompany+ malaise1 *ill9ess & febrile di/urbance1 z a firm1 flat1 inflammatory infiltration 9 ! deep] sk9 & subcutane\s tissue1 spread+ lat]ally & f9ally involv+ an area ( "o to sev]al in*es 9 diamet]4 ,! infiltration & swell+ increase1 ! sk9 becomes ( d>k r$ color1 & soon] or lat]1 usually at ! end ( t5 days or two weeks1 s(t5+ & suppuration beg9 to take place1 ! sk9 f9ally giv+ away at sev]al po9ts1 ?r\gh :i* sani\s pus exudes2 ! :ole mass f9ally sl\ghs away ei!r 9 portions or 9 its entirety1 result+ 9 a deep ulc]1 :i* sl[ly heals & leaves a p]man5t cicatrix4 ,9 "s cases1 especially 9 old p1 con/itutional di/urbance ( a grave "* is not$1 septicaemia is develop$1 & a fatal result may ensue4 ,:at is ! cause ( c>buncle8 ,! same causes are consid]$ to be op]ative 9 c>bunculus z 9 furuncle2 g5]al debility & depression1 f :atev] cause1 pr$ispos+ to its =mation1 & ! introduction ( a microbe1 probably ! same z 9 furunculus1 be+ at pres5t look$ ^u z ! excit+ factor4 ,:at is ! pa?ology8 ,! inflammation />ts simultane\sly f num]\s po9ts1 f ! hair-follicles1 sweat-gl&s or sebace\s gl&s4 ,! inflammatory c5tres break d[n1 & ! pus f9ds its way to ! surface2 f9ally ! process ends 9 gangr5e ( ! :ole area4 ,h[ w\ld y di/+ui% c>buncle f a boil8 ,by its flat "*1 great] size1 & multiple po9ts ( suppuration4 ,:at is ! prognosis ( c>buncle8 ,occurr+ 9 ^? greatly debilitat$ or 9 late life1 & 9 ^? cases 9 :i* two or m lesions exi/1 or :5 seat$ ab\t ! head1 ! prognosis is always to be gu>d$1 z a fatal result is n uncommon4 ,9 fact1 9 e in/ance ! disease is to be consid]$ ( possible s]i\s import4 ,:at con/itutional treatm5t is usually employ$ 9 c>buncle8 ,a full nutriti\s diet1 ! use ( su* rem$ies z iron1 qu9ia1 nux vomica1 ) malt & /imulants1 if indicat$4 ,calx sulphurata1 "o-t5? to "o-f\r? gra9 e two or ?ree h\rs1 appe>s1 9 "s in/ances1 to h a b5eficial effect4 ,if ! pa9 is sev]e1 morphia or *loral %\ld be giv54 ,:at ext]nal measures are employ$8 ,9 ! e>ly "p ( ! =mation1 injection ( a five or t5 p] c5t4 c>bolic acid solution1 or cov]+ ! :ole area ) a tw5ty-five p] c5t4 i*?yol o9tm5t1 may be employ$4 ,:5 x has brok5 d[n ! pus may be drawn out ) a cupp+-glass1 & c>boliz$ glyc]9e or c>boliz$ wat] introduc$ into ea* op5+1 & ! i*?yol o9tm5t sup]impos$4 ,if ! :ole "p has sl\gh$1 x %\ld be remov$ z rapidly z possible1 & antiseptic dress+s us$4 ,or1 if its progress is sl[1 & grave sy/emic di/urbance be pres5t1 ! :ole "p may be incis$ & curett$1 & !n treat$ antiseptically4 ,mild exposure to ! x-rays is also to be comm5d$4 ,pu/ula ,maligna4 7,synonyms3 ,an?rax2 ,malignant ,pu/ule47 ,:at is malignant pu/ule8 ,malignant pu/ule is a furuncle- or c>buncle-l lesion result+ f inoculation ( ! virus g5]at$ 9 animals suff]+ f spl5ic fev]1 or *>bon1 & is accompani$ by con/itutional symptoms ( m or less gravity4 ,a fatal t]m9ation is n unusual4 ,:at is ! cause ( pu/ula maligna8 ,! disease is due to ! pres5ce ( ! bacillus an?racis4 ,:at is ! treatm5t ( malignant pu/ule8 ,e>ly excision or de/ruction ) cau/ic pota%1 ) subsequ5t antiseptic dress+s2 & int]nally ! free use ( /imulants & tonics4 ,po/-mortem ,pu/ule4 7,synonym3 ,dissection ,w\nd47 ,describe po/-mortem pu/ule4 ,po/-mortem pu/ule develops at ! po9t ( inoculation1 beg9n+ z an it*y r$ spot1 becom+ vesico-pu/ul>1 & lat] pu/ul>1 ) usually a broad inflammatory base1 & accompani$ ) m or less pa9 & r$ness & n infrequ5tly lymphangitis1 erysipelat\s swell+1 & slight or sev]e sympa!tic con/itutional di/urbance4 ,:at is ! treatm5t ( po/-mortem pu/ule8 ,treatm5t consi/s 9 op5+ ! pu/ule & ?or\gh caut]ization1 & ! subsequ5t use ( antiseptic applications or dress+s4 ,int]nally qu9ia & /imulants if indicat$4 ,framboesia4 7,synonyms3 ,yaws2 ,pian47 ,describe framboesia4 ,framboesia is an endemic1 contagi\s disease met ) 9 tropical c\ntries1 *>act]iz$ by ! appe>ance ( v>i\sly-siz$ papules1 tub]cles1 & tumors1 :i*1 :5 develop$1 resemble currants & small raspb]ries1 & f9ally break d[n & ulc]ate4 ,x is accompani$ by con/itutional symptoms ( v>iable sev]ity4 ,hygi5ic measures1 good food1 tonics1 & antiseptic & /imulat+ applications are curative4 ,v]ruga ,p]uana4 7,synonyms3 ,p]uvian ,w>ts2 ,c>rion's ,disease2 ,oroya ,fev]47 ,describe v]ruga p]uana4 ,a specific inoculable affection endemic 9 "s valleys ( ! ,we/]n ,&es1 9 ,p]u1 & *>act]iz$ by a prodromal febrile p]iod & subsequ5t outbreak ( peculi> p9-head- to pea-siz$1 or l>g]1 bright r$di%1 r\nd$1 w>t-l elevations4 ,! prodromal symptoms1 ( an irregul> mal>ial or typhoid type1 ) associat$ rheumatic & muscul> pa9s1 may la/ = weeks or sev]al mon?s1 usually abat+ :5 eruption pres5ts4 ,! lesions may be cr[d$ toge!r 9 great bun*es4 ,! face & limbs are favorite localities4 ,! disease is inoculable & ?\ght to be due to a bacillus4 ,! fatality v>ies betwe5 #aj & #bj p] c5t4 ,tonics & /imulants are prescrib$4 ,equ9ia4 7,synonyms3 ,f>cy2 ,gl&]s47 ,:at is equ9ia1 or gl&]s8 ,a r>e contagi\s specific disease ( a malignant type1 d]iv$ f ! horse1 & *>act]iz$ by grave con/itutional symptoms1 inflammation ( ! nasal & respiratory passages1 & a deep-seat$ papulo-pu/ul>1 or tub]cul>1 nodul> 7f>cy buds71 ulc]ative eruption4 ,a fatal issue is n uncommon4 ,x is due to a micro-organism4 ,treatm5t1 bo? local & con/itutional1 is bas$ ^u g5]al pr9ciples4 ,mili>ia4 7,synonyms3 ,prickly ,heat2 ,heat ,ra%2 ,li*5 ,tropicus2 ,r$ ,gum2 ,/rophulus47 ,:at d y und]/& by mili>ia8 ,an acute mildly inflammatory disord] ( ! sweat-gl&s1 *>act]iz$ by ! appe>ance ( m9ute1 discrete b closely cr[d$ papules1 vesico-papules1 & vesicles4 ,describe ! symptoms ( mili>ia4 ,! eruption1 consi/+ ( p9-po9t to millet-se$-siz$ papules1 vesico-papules1 vesicles1 or a mixture ( ^! lesions1 discrete b usually num]\s & closely cr[d$1 appe>s sudd5ly1 occurr+ ^u a limit$ portion ( ! surface1 or1 z commonly obs]v$1 involv+ a great] "p or ! :ole integum5t4 ,! trunk is a favorite locality4 ,! papul> lesions are p9ki% or r$di%1 & ! vesicles :iti% or yell[i%1 surr\nd$ by inflammatory areola1 ?us giv+ ! :ole eruption a bright r$ appe>ance--mili>ia rubra4 ,lat]1 ! areolae fade1 ! transp>5t cont5ts ( ! vesicles become some:at opaque & yell[i%-:ite1 & ! eruption has a :iti% or yell[i% ca/--mili>ia alba4 ,9 long-cont9u$ cases1 especially 9 *ildr51 boils & cutane\s abscesses sometimes develop2 & x may also develop into a true eczema4 ,it*+1 or a feel+ ( burn+1 slight or int5se1 is usually pres5t4 ,:at is ! c\rse ( ! eruption8 ,! vesicles %[ no disposition to rupture1 b dry up 9 a few days or a week1 disappe>+ by absorption & ) slight subsequ5t desquamation2 ! papul> lesions gradually fade away1 & ! affection1 if ! excit+ cause has ceas$ to act1 t]m9ates4 ,:at is ! cause ( mili>ia8 ,excessive heat4 ,debilitat$ individuals1 especially *ildr51 are m prone to an attack4 ,be+ too w>mly clad is (t5 causative4 ,:at is ! nature ( ! disease8 ,! affection is consid]$ to be due to sweat-ob/ruction1 ) mild inflammatory symptoms z a cause or consequ5ce1 conge/ion & exudation tak+ place ab\t ! ducts1 giv+ rise to papules or vesicles1 accord+ to ! int5sity ( ! process4 ,h[ w\ld y di/+ui% mili>ia f papul> & vesicul> eczema1 & f sudam58 ,! papules ( eczema are l>g]1 m elevat$1 firm]1 sl[] 9 _! evolution1 ( long] duration1 & are m>k$ly it*y4 ,! vesicles ( eczema are usually l>g]1 t5d to become conflu5t1 & also to rupture & become cru/$2 !re is m>k$ it*9ess1 & ! inflammatory action is usually sev]e & p]si/5t4 ,9 sudam5 !re is abs5ce ( inflammatory symptoms4 ,:at is ! prognosis ( mili>ia8 ,! affection1 "u favorable circum/ances1 disappe>s 9 a few days or weeks4 ,if ! cause p]si/s1 z = in/ance1 9 infants or "y *ildr5 too w>mly clad1 x may result 9 eczema4 ,:at is ! treatm5t ( mili>ia8 ,removal ( ! cause1 & 9 debilitat$ subjects ! adm9i/ration ( tonics2 toge!r ) ! application ( cool+ & a/r+5t lotions1 z ! foll[+3-- ,rx ,aeidi c>bolici1 444444444444444444444 dramss-dramj ,acidi borici1 444444444444444444444444 dramiv ,glyc]9ae1 444444444444444444444444444 fdramj ,alcoholis1 444444444444444444444444444 f,ozij ,aquae1 44444444444444444444444444444444 ,ozxiv4 ,m4 ,?is is sometimes m effici5t if z9c oxide1 six to eight dra*ms1 is add$4 ,lotions ( alcohol & wat] or v9eg> & wat]1 & also ! v>i\s lotions us$ 9 acute eczema1 are (t5 employ$ ) relief4 ,du/+-p[d]s ( />*1 boric acid1 lycopodium1 talc1 & z9c oxide are also valuable2 ! foll[+ comb9ation is satisfactory3-- ,rx ,pulv4 acidi borici1 ,pulv4 talci v5eti1 ,pulv4 z9ci oxidi1 ,pulv4 amyli1 4444444444444aa44444dramij4 ,m4 ,probably ! be/ plan is to use a lotion & a du/+-p[d] conjo9tly2 dabb+ on ! wa% freely1 all[+ x to dry1 & !n du/+ ov] ) ! p[d]4 ,pompholyx4 7,synonyms3 ,dysidrosis2 ,*eiro-pompholyx47 ,:at is pompholyx8 ,pompholyx is a r>e disease ( ! sk9 ( a vesicul> & bull\s "*1 & limit$ to ! h&s & feet4 ,describe ! symptoms ( pompholyx4 ,9 mo/ in/ances ! h&s only are affect$4 ,x beg9s usually ) a feel+ ( burn+1 t+l+ or t5d]ness ( ! p>ts1 foll[$ rapidly by ! appe>ance ( deeply-seat$ vesicles1 especially betwe5 ! f+]s & on ! palm> aspect4 ,^! beg9n+ lesions look n unlike sago gra9s imb$d$ 9 ! sk94 ,9 "s in/ances ! disease does n ext5d beyond ?is /age1 ! vesicles disappe>+ aft] a few days or weeks by absorption1 & usually )\t desquamation4 ,ord9>ily1 h[ev]1 ! lesions increase 9 size1 new ones arise1 become conflu5t1 & blebs result1 ! sk9 9 places appe>+ z if und]m9$ ) s]\s exudation4 ,! p>ts are commonly inflam$ to a slight or m>k$ degree4 ,! sk9 comes (f 9 flakes1 new lesions may appe> = sev]al days or two or ?ree weeks1 & ! process !n decl9es1 recov]y gradually tak+ place4 ,!re are no con/itutional symptoms1 al?\gh x is usually notic$ t ! g5]al heal? is bel[ p>4 ,:at is ! "* ( ! subjective symptoms 9 pompholyx8 ,! subjective symptoms consi/ ( a feel+ ( t5sion1 burn+ & t5d]ness1 & sometimes it*+4 ,n infrequ5tly1 also !re is neuralgic pa94 ,:at is ! cause ( pompholyx8 ,! eruption is ?\ght to be due to a depress$ /ate ( ! n]v\s sy/em4 ,x is m common 9 wom51 & is met ) *iefly 9 adult & middle life4 ,:at is ! pa?ology8 ,op9ion is divid$2 "s consid]+ x a disease ( ! sweat-gl&s & o!rs an inflammatory disease indep5d5t ( ^! /ructures4 ,/ate ! diagno/ic features ( pompholyx4 ,! di/ribution & ! peculi> *>act]s & c\rse ( ! eruption4 ,x is to be diff]5tiat$ f eczema4 ,:at is ! prognosis8 ,= ! imm$iate attack1 favorable1 recov]y tak+ place 9 sev]al weeks or a few mon?s4 ,recurr5ces at irregul> int]vals are n uncommon4 ,:at is ! treatm5t ( pompholyx8 ,! g5]al heal? is to be look$ aft]1 & ! pati5t plac$ "u good hygi5ic conditions4 ,rem$ies ( a tonic nature1 direct$ especially t[>d improv+ ! /ate ( ! n]v\s sy/em1 are to be prescrib$4 ,locally1 soo?+ & anodyne applications1 su* z lead-wat] & laudanum1 boric-acid lotion1 oxide-(-z9c1 boric-acid & dia*ylon o9tm5ts1 are mo/ suitable2 or ! p>ts may be envelop$ ) ! foll[+3-- ,rx ,pulv4 ac4 salicylici1 4444444444444444 gr4 x ,pulv4 ac4 borici1 ,pulv4 amyli1 4444444444 aa 44444 dramij ,petrolati1 444444444444444444444444444 dramiv4 ,m4 ,9 fact1 ! ext]nal treatm5t is simil> to t employ$ 9 acute eczema4 ,h]pes ,simplex4 7,synonym3 ,fev] ,bli/]s47 ,:at is h]pes simplex8 ,an acute inflammatory disease1 *>act]iz$ by ! =mation ( p9-head to pea-siz$ vesicles1 arrang$ 9 gr\ps1 & occurr+ = ! mo/ "p ab\t ! face & g5italia4 ,describe ! symptoms ( h]pes simplex4 ,9 sev]e cases1 malaise & pyrexia may prec$e ! eruption1 b usually x appe>s )\t any precursory or con/itutional symptoms4 ,a feel+ ( heat & burn+ 9 ! p>ts is (t5 compla9$ (4 ,! vesicles1 :i* are commonly p9-head 9 size1 are usually ^u a hyp]aemic or inflammatory base1 & t5d to occur 9 gr\ps or clu/]s4 ,_! cont5ts are usually cle>1 subsequ5tly becom+ m or less milky or puri=m4 ,!re is no t5d5cy to spontane\s rupture1 b %\ld !y be brok5 a sup]ficial excoriation results4 ,9 a %ort "t !y dry to cru/s :i* soon fall (f1 leav+ no p]man5t trace4 ,is ! eruption 9 h]pes simplex abundant8 ,no4 ,z a rule n m ?an "o or two clu/]s or gr\ps are obs]v$4 ,^u :at p>ts does ! eruption occur8 ,usually ab\t ! face 7h]pes facialis71 & mo/ frequ5tly ab\t ! lips 7h]pes labialis72 on ! g5italia 7h]pes prog5italis71 ! lesions are commonly f\nd on ! prepuce 7h]pes praeputialis7 9 ! male1 & on ! labia m9ora & labia majora 9 ! female4 ,/ate ! causes ( h]pes simplex4 ,h]pes facialis is (t5 obs]v$ 9 association ) colds & febrile & lung diseases4 ,mal>ia1 dige/ive di/urbance1 & n]v\s disord]s are n infrequ5tly pr$ispos+ factors4 ,h]pes prog5italis is said to occur m frequ5tly 9 ^? :o h previ\sly _h "s v5]eal disease1 especially gonorrhoea1 b ?is is que/ionable4 ,x is probably (t5 purely neurotic4 ,:at are ! diagno/ic po9ts8 ,! appe>ance ( "o or sev]al vesicul> gr\ps or clu/]s ab\t ! face1 & especially ab\t ! lips1 is usually suffici5tly *>act]i/ic4 ,! same holds true ord9>ily :5 ! eruption is se5 on ! prepuce or o!r p>ts ( ! g5italia2 x is only :5 ! vesicles become rubb$ or abrad$ & irritat$ t x might be mi/ak5 = a v5]eal sore1 b ! hi/ory1 c\rse & duration w usually s]ve to diff]5tiate4 ,give ! prognosis4 ,! eruption w usually disappe> 9 sev]al days or "o or two weeks )\t treatm5t4 ,rem$ial applications1 h[ev]1 ex]t a favorable influ5ce4 ,h]pes prog5italis exhibits a /rong disposition to recurr5ce4 ,:at is ! treatm5t ( h]pes facialis8 ,ano9t+ ! p>ts ) camphorat$ cold cream1 ) spirits ( camphor or simil> evaporat+ & /imulat+ applications w at times af=d relief to ! burn+1 & %ort5 ! c\rse4 ,:at is ! treatm5t ( h]pes prog5italis8 ,9 h]pes ab\t ! g5italia cleanl9ess is ( fir/ importance4 ,a saturat$ solution ( boric acid1 a du/+-p[d] ( calomel or oxide ( z9c1 & ! foll[+ lotion1 conta9+ calam9e & oxide ( z9c1 are valuable3-- ,rx ,z9ci oxidi1 ,calam9ae1 4444444444 aa 44444444 gr4 v ,glyc]9ae1 ,alcoholis1 444444444 aa 44444444 m9imvj ,aquae1 44444444444444444444444444444444 ,ozj ,m4 ,9 ob/9ate recurr5t cases1 frequ5t applications ( a mild galvanic curr5t w h a favorable influ5ce4 ,hydroa ,vacc9i=me4 7,synonyms3 ,recurr5t ,summ] ,eruption2 ,hydroa ,pu]orum2 ,hydroa ,ae/ivale47 ,describe hydroa vacc9i=me4 ,x is a r>e vesicul> disease usually se5 9 boys 7only two or ?ree exceptions71 occurr+ ^u uncov]$ p>ts1 especially ! nose1 *eeks1 & e>s4 ,! lesions beg9 z r$ spots1 discrete or 9 gr\ps1 rapidly exhibit vesiculation1 & lat] umbilication2 ! cont5ts become milky1 dry to cru/s1 :i* fall (f & leave small pit-l sc>s4 ,fre% outbreaks may take place almo/ cont9u\sly1 & ! process g on indef9itely1 at lea/ up to y\? or manhood1 :5 ! t5d5cy subsides4 ,its activity is usually limit$ to ! w>m season4 ,ar?ritic symptoms & g5]al di/urbance are sometimes not$ 9 sev]e cases4 ,x is d\btless a vasomotor neurosis4 ,exposure to sun & w9d is an important1 if n ess5tial1 etiological factor4 ,prim>ily ! lesion beg9s 9 ! rete middle lay]s1 & is purely vesicul> 9 "*2 lat]1 necrosis ( ! rete & ext5d+ deep 9 ! corium is obs]v$4 ,treatm5t s f> has only be5 palliative1 consi/+ ( ! applications employ$ 9 simil> conditions4 ,con/itutional m$ication is bas$ ^u g5]al pr9ciples4 ,! pati5t %\ld avoid exposure to ! sun1 /rong w9d & excessive artificial heat4 ,epid]molysis ,bullosa4 ,describe epid]molysis bullosa4 ,?is is a r>e1 usually h]$it>y1 disease or condition1 *>act]iz$ by ! =mation ( vesicles & blebs on any "p subject$ to slight rubb+ or irritation4 ,no sc>r+ is left1 & no pigm5tation not$4 ,! pr$isposition to ^! lesions p]si/s indef9itely4 ,! g5]al heal? is n involv$4 ,! nature ( ! disease is obscure4 ,treatm5t has no influ5ce 9 modify+ or less5+ ?is t5d5cy4 ,! vuln]able p>ts %\ld s f> z possible be protect$ f knocks & undue friction4 ,d]matitis ,rep5s4 ,:at d y und]/& by d]matitis rep5s8 ,x is a r>e spread+ d]matitis />t+ f an injury1 ext5d+ by a s]\s und]m9+ ( ! epid]mis1 & usually occurr+ ^u ! upp] extremities4 ,x usually beg9s %ortly aft] an injury1 &1 z a rule1 pres5ts itself by r$ness & s]\s exudation4 ,! ov]ly+ epid]mis breaks1 & ! area ( disease gradually progresses by an ext5sion ( ! s]\s und]m9+ process1 ! d5ud$ "p look+ r$ & raw1 ) usually an ooz+ surface4 ,z ! disease spreads ! olde/ "p becomes dry & heals1 ! new epid]mal cov]+ be+ ?9 & atrophic 9 appe>ance4 ,its mo/ usual beg9n+ is on "s "p ( ! h&1 & f "h x may spread up ! arm & involve consid]able area4 ,! injury f :i* x />ts may be extremely insignificant1 app>5tly af=d+ an op5+ = ! introduction ( ! causative factor1 d\btless p>asitic4 ,beyond a feel+ ( sor5ess !re seem to be no special subjective symptoms4 ,give ! prognosis & treatm5t4 ,! malady %[s b little t5d5cy to spontane\s cure4 ,! frequ5t or con/ant application ( a mild antiseptic lotion1 su* z boric acid & resorc91 or ( a mild p>asiticide o9tm5t w g5]ally br+ ! disease gradually to an end4 ,h]pes ,zo/]4 7,synonyms3 ,zo/]2 ,zona2 ,%+les47 ,give a def9ition ( h]pes zo/]4 ,h]pes zo/] is an acute1 self-limit$1 inflammatory disease1 *>act]iz$ by gr\ps ( vesicles ^u inflammatory bases1 situat$ ov] or along a n]ve tract4 ,^u :at p>ts ( ! body may ! eruption appe>8 ,x may appe> ^u any "p1 foll[+ ! c\rse ( a n]ve2 x is !re=e always limit$ 9 ext5t1 & conf9$ to "o side ( ! body4 ,x is probably mo/ common ab\t ! int]co/al1 lumb> & supra-orbital regions4 ,9 r>e in/ances ! eruption has be5 obs]v$ to be bilat]al4 ,are !re any subjective or con/itutional symptoms8 ,yes2 !re is1 z a rule1 neuralgic pa9 prec$+1 dur+ & foll[+ ! eruption2 & 9 "s cases1 also1 !re may be 9 ! beg9n+ mild febrile di/urbance4 ,!re is also a v>iable degree ( t5d]ness & pa94 ,:at are ! *>act]s ( ! eruption8 ,sev]al or m hyp]aemic or inflammatory pat*es ov] a n]ve c\rse appe>1 ^u :i* are seat$ vesico-papules irregul>ly gr\p$2 ^! vesico-papules become di/9ct vesicles1 ( size f a p9-head to a pea1 & soon dry & give rise to ?91 yell[i% or br[ni% cru/s1 :i* drop (f1 leav+ 9 mo/ in/ances no p]man5t trace1 9 o!rs m or less sc>r+4 ,9 "s cases ! lesions may become pu/ul> &1 on ! o!r h&1 ! eruption may be abortive1 /opp+ %ort ( full vesiculation4 ,:at is kn[n 9 reg>d to ! nature ( ! disease8 ,an inflam$ & irritable /ate ( ! sp9al ganglia1 n]ve tract1 or p]iph]al bran*es is directly responsible = ! eruption1 & ?is /ate may be due to atmosph]ic *anges1 cold1 n]ve-injuries & simil> influ5ces4 ,! view has also be5 advanc$ t ! disease is ( specific & infecti\s "*4 ,give ! *ief diagno/ic features ( h]pes zo/]4 ,! prodromic neuralgic pa91 ! appe>ance ( gr\p$ vesicles ^u inflammatory bases foll[+ ! c\rse ( a n]ve tract1 & ! limitation ( ! eruption to "o side ( ! body4 ,:at is ! prognosis8 ,favorable2 ! symptoms usually disappe>+ 9 two to f\r weeks4 ,9 "s in/ances1 h[ev]1 ! neuralgic pa9s may be p]si/5t1 & 9 zo/] ( ! supra-orbital region ! eye may suff] p]man5t damage4 ,h[ w\ld y treat h]pes zo/]8 ,con/itutional treatm5t1 usually tonic 9 "*1 is to be bas$ ^u g5]al pr9ciples2 mod]ate doses ( qu9ia1 ) "o-six? gra9 ( z9c phosphide1 f\r or five times daily1 appe> 9 "s cases to h a special value4 ,! accompany+ neuralgic pa9 may be s int5se z to require anodynes4 ,local treatm5t %\ld be ( a soo?+ & protective "*4 ,a du/+-p[d] ( oxide ( z9c & />* 7to ! ounce ( :i* tw5ty to ?irty gra9s ( camphor may be add$7 proves useful2 & ov] ?is1 9 ord] t ! p>ts be fur!r protect$1 a b&age or a lay] ( cotton batt+4 ,oxide-(-z9c o9tm5t1 & 9 ^? cases 9 :i* !re is mu* pa91 o9tm5ts conta9+ p[d]$ opium or belladonna1 or or?(orm1 may be us$4 ,a mild galvanic curr5t appli$ daily to ! p>ts is (t5 ( great advantage1 bo? 9 its influ5ce ^u ! c\rse ( ! eruption & ^u ! neuralgic pa94 ,! plan1 s (t5 advis$1 ( pa9t+ ! p>ts ) flexible collodion is n to be comm5d$4 ,d]matitis ,h]peti=mis4 7,synonyms3 ,hydroa ,h]peti=me 7,tilbury ,fox72 ,h]pes ,ge/ationis 7,bulkley72 ,pemphigus ,prurigiuosus2 ,duhr+'s ,disease47 ,give a def9ition ( d]matitis h]peti=mis4 ,d]matitis h]peti=mis is a some:at r>e inflammatory disease1 *>act]iz$ by an eruption ( an ery!mat\s1 papul>1 vesicul>1 pu/ul>1 bull\s or mix$ type1 ) a decid$ disposition t[>d gr\p+1 accompani$ by it*+ & burn+ s5sations1 )1 z a rule1 m or less consequ5t pigm5tation1 & pursu+ usually a *ronic c\rse ) remissions4 ,describe ! ery!mat\s type ( d]matitis h]peti=mis4 ,! "* ( ! eruption 9 ! ery!mat\s type resembles closely t ( ery!ma multi=me & ( urtic>ia1 especially ! =m]4 ,! effloresc5ces usually make _! appe>ance 9 crops1 & are m or less p]si/5t2 fad+ soon] or lat]1 h[ev]1 & giv+ place to new outbreaks4 ,vesicles are (t5 int]m+l$1 develop+ f ery!mat\s & ery!mato-papul> lesions or aris+ f app>5tly normal sk94 ,x may cont9ue 9 ! same type1 or *ange to ! vesicul>1 bull\s or o!r v>iety4 ,describe ! papul> type ( d]matitis h]peti=mis4 ,?is is r>ely se5 z consi/+ purely ( papul> lesions1 b is commonly associat$ ) ! ery!mat\s & vesicul> v>ieties4 ,9 a measure x resembles ! papul> manife/ations ( ery!ma multi=me1 ) a di/9ct disposition t[>d gr\p =mation4 ,! papules t5d1 soon] or lat]1 to develop into vesicles1 new papul> outbreaks occurr+ f "t to "t2 or ! :ole eruption *anges to ! vesicul> or o!r type ( ! disease4 ,x is n a common type4 ,describe ! vesicul> type ( d]matitis h]peti=mis4 ,?is is ! common cl9ical type ( ! disease1 & is *>act]iz$ by p9-head to pea-siz$1 r\nd$ or irregul>ly-%ap$1 di/5d$ or flatt5$ & /ellate vesicles1 occurr+1 = ! mo/ "p1 9 irregul> & segm5tal gr\ps ( ?ree or m lesions1 seat$ ei!r ^u app>5tly normal integum5t or ^u hyp]aemic or inflammatory sk94 ,!y exhibit no t5d5cy to spontane\s rupture1 b aft] rema9+ a %ort] or long] "t1 are brok5 or disappe> by absorption4 ,! lesions t5d to appe> 9 crops4 ,x may1 z x n infrequ5tly does1 cont9ue 9 ! same type1 or x may become m or less ery!mat\s or bull\s 9 "*4 ,9 n a few in/ances pu/ules1 few or 9 numb]s1 are at times int]m+l$4 ,describe ! pu/ul> type ( d]matitis h]peti=mis4 ,?is is r>e4 ,x is simil> 9 its cl9ical *>act]s to ! vesicul> type1 except t ! lesions are pu/ul>4 ,x is met )1 z a rule1 9 association ) ! vesicul> & bull\s v>ieties ( ! disease4 ,describe ! bull\s type ( d]matitis h]peti=mis4 ,! bull\s expression ( ! disease is usually ( a m>k$ly inflammatory nature1 (t5 innum]able blebs1 small & l>ge1 appe>+ almo/ cont9u\sly1 & 9 "s in/ances involv+ ! great] "p ( ! surface4 ,! lesions arise f ery!mat\s sk91 f preexi/+ vesicles or vesicul> gr\ps1 or f app>5tly normal integum5t4 ,!re is a m>k$ disposition to appe> 9 clu/]s4 ,a *ange ( type to ! ery!mat\s or vesicul> v>ieties is n unusual4 ,describe ! mix$ type ( d]matitis h]peti=mis4 ,9 ?is type ! eruption is made up ( ery!mat\s pat*es1 vesicles1 bullae1 & (t5 ) pu/ules int]m+l$1 appe>+ irregul>ly or 9 crops1 & ) a t5d5cy to pat* or gr\p =mation4 ,describe ! *>act]s ( ! vesicles1 pu/ules & blebs4 ,z a rule1 ^! sev]al lesions1 especially ! vesicles & blebs1 are some:at peculi>3 !y are usually ( a /rik+ly irregul> outl9e1 oblong1 /ellate1 quadrate1 & :5 dry+ are apt to h a puck]$ appe>ance4 ,!y are h]petic 9 t !y %[ little disposition to spontane\s rupture1 occur 9 gr\ps1 & are usually seat$ ^u ery!mat\s or inflammatory sk9--9 "s respects simil> to ! gr\ps ( simple h]pes & h]pes zo/]4 ,:at is to be said 9 reg>d to ! subjective symptoms8 ,! subjective symptoms are usually ! mo/ tr\blesome feature ( ! disease1 consi/+ ( int5se & p]si/5t it*+ & a feel+ ( heat & burn+4 ,are !re any con/itutional symptoms 9 d]matitis h]peti=mis8 ,z a rule1 n1 except+ ! di/ress & depression necess>ily consequ5t ^u ! int5se it*9ess & loss ( sleep4 ,9 ! pu/ul> & bull\s v>ieties !re may be mild or grave sy/emic symptoms1 b ev5 9 ^! types ! con/itutional involvem5t is1 9 mo/ in/ances1 slight 9 comp>ison to ! int5sity ( ! cutane\s di/urbance4 ,:at is ! c\rse ( d]matitis h]peti=mis8 ,extremely *ronic1 9 mo/ in/ances la/+1 ) remissions1 indef9itely4 ,! sk9 is r>ely entirely free4 ,f "t to "t ! type ( ! disease may und]go *ange4 ,f ! cont9u$ irritation & scrat*+ m or less pigm5tation results4 ,:at is to be said 9 reg>d to ! etiology8 ,! disease is 9 _m in/ances ess5tially neurotic1 & 9 exceptional in/ances septicaemic4 ,pregnancy & ! p>turi5t /ate are factors 9 "s in/ances 7s-call$ h]pes ge/ationis74 ,x is possible 9 "s in/ances t ! eruption may be an expression ( a mild toxemia ( ga/ro-inte/9al orig94 ,9 "s cases no cause c be assign$4 ,9 ! majority ( pati5ts ! g5]al heal?1 consid]+ ! viol5ce ( ! eruptive ph5om5a1 rema9s comp>atively undi/urb$4 ,n]v\s %ock & m5tal worry are factors 9 "s cases4 ,polyuria1 ) sug> 9 ! ur9e1 has occasionally be5 not$4 ,eos9ophile cells h be5 f\nd bo? 9 ! vesicles & ! blood4 ,9 "s in/ances--exceptionally1 x is true--! disease has appe>$ %ortly aft] vacc9ation4 ,m5tion ! diagno/ic features ( d]matitis h]peti=mis4 ,! multi=mity ( ! eruption1 ! *>act]s ( ! lesions1 ! disposition to gr\p+1 ! abs5ce ( t5d5cy to =m solid %eets ( eruption 7z 9 eczema71 ! int5se it*+1 hi/ory1 *ronicity & c\rse4 ,9 d\btful cases1 an obs]vation ( sev]al weeks w always suffice to di/+ui% x f eczema1 ery!ma multi=me1 h]pes iris & pemphigus1 diseases to :i* x at times be>s /rong resemblance4 ,give ! prognosis ( d]matitis h]peti=mis4 ,an op9ion z to ! outcome ( ! disease %\ld be gu>d$4 ,x is exce$+ly rebelli\s to treatm5t1 & relapses are ! rule4 ,exceptionally ! bull\s & pu/ul> v>ieties prove ev5tually fatal4 ,! ery!mat\s & vesicul> v>ieties are ! mo/ favorable4 ,/ate ! treatm5t to be advis$4 ,!re are no special rem$ies4 ,con/itutional treatm5t mu/ be conduct$ ^u g5]al pr9ciples4 ,a free action ( ! b[els is to be ma9ta9$4 ,9 occasional in/ances ars5ic 9 progressive doses seems ( value4 ,ext]nally protective & antipruritic applications1 su* z are employ$ 9 ! treatm5t ( eczema & pemphigus1 are to be employ$3-- ,rx ,ac4 c>bolici1 44444444444444444444444 dramj-dramij ,?ymol1 444444444444444444444444444444 gr4 xvj4 ,glyc]9ae1 444444444444444444444444444 ,ozss-,ozj ,alcoholis1 444444444444444444444444444 f,ozij ,aquae1 q4s41 444444444 ad 4444444444444 ,oj4 ,m4 ,o!r valuable applications are3 lotions ( c>bolic acid1 ( liquor c>bonis det]g5s1 ( boric acid2 alkal9e ba?s1 mild sulphur o9tm5t & c>boliz$ oxide-(-z9c o9tm5t1 & du/+-p[d]s ( />*1 z9c oxide1 talc & boric acid4 ,a two- to t5-p]-c5t4 i*?yol lotion or o9tm5t is sometimes ( advantage2 ?iol employ$ 9 ! same mann] has also be5 comm5d$4 ,psoriasis4 ,give a def9ition ( psoriasis4 ,psoriasis is a *ronic1 inflammatory disease1 *>act]iz$ by dry1 r$di%1 v>i\sly-siz$1 r\nd$1 %>ply-def9$1 m or less infiltrat$1 scaly pat*es4 ,illu/ration3 ,psoriasis4 ,at :at age does psoriasis usually fir/ make its appe>ance8 ,mo/ commonly betwe5 ! ages ( fifte5 & ?irty4 ,x is r>ely se5 be=e ! t5? ye>1 & a fir/ attack is uncommon aft] ! age ( =ty4 ,has psoriasis any special p>ts ( pr$ilection8 ,! ext5sor surfaces ( ! limbs1 especially ! elb[s & knees1 are favorite localities1 & ev5 :5 ! eruption is m or less g5]al1 ^! regions are usually mo/ conspicu\sly involv$4 ,! face (t5 escapes1 & ! palms & soles1 likewise ! nails1 are r>ely involv$4 ,9 exceptional in/ances1 ! eruption is limit$ almo/ exclusively to ! scalp4 ,are !re any con/itutional or subjective symptoms 9 psoriasis8 ,!re is no sy/emic di/urbance2 b a v>iable am\nt ( it*+ may be pres5t1 al?\gh1 z a rule1 x is n a tr\blesome symptom4 ,describe ! cl9ical appe>ances ( a typical1 well develop$ case4 ,tw5ty or a hundr$ or m lesions1 v>y+ 9 size f a p9-head to a silv] doll>1 are usually pres5t4 ,!y are %>ply def9$ aga9/ ! s\nd sk91 are r$di%1 slightly elevat$ & infiltrat$1 & m or less abundantly cov]$ ) :iti%1 grayi% or "m-(-pe>l color$ scales4 ,! pat*es are usually scatt]$ ov] ! g5]al surface1 b are frequ5tly m num]\s on ! ext5sor surfaces ( ! arms & legs1 especially ab\t ! elb[s & knees4 ,sev]al closely-ly+ lesions may coalesce & a l>ge1 irregul> pat* be =m$2 "s ( ! pat*es1 also1 may be m or less circ9ate1 ! c5tral portion hav+1 9 a measure or completely1 disappe>$4 ,give ! developm5t & hi/ory ( a s+le lesion4 ,e s+le pat* ( psoriasis beg9s z a p9-po9t or p9-head-siz$1 hyp]aemic1 scaly1 slightly-elevat$ lesion2 x increases gradually1 & 9 ! c\rse ( sev]al days or weeks usually rea*es ! size ( a dime or l>g]1 & !n may rema9 /ation>y2 or involution beg9s to take place1 usually by a disappe>ance1 p>tially or completely1 ( ! c5tral portion1 & f9ally ( ! :ole pat*4 ,describe ! s-call$ cl9ical v>ieties ( psoriasis4 ,z cl9ically met )1 ! pat*es pres5t are1 z a rule1 9 all /ages ( developm5t4 ,9 "s in/ances1 h[ev]1 ! lesions1 or ! mo/ ( !m1 progress no fur!r ?an p9-head 9 size1 & !n rema9 /ation>y1 con/itut+ psoriasis punctata2 9 o!r cases1 !y may /op %ort aft] hav+ rea*$ ! size ( drops--psoriasis guttata2 9 o!rs 7& ?is is ! usual cl9ical type7 ! pat*es develop to ! size ( co9s--psoriasis nummul>is4 ,9 "s cases !re is a /rong t5d5cy = ! c5tral "p ( ! lesions to disappe>1 & ! process !n rema9 /ation>y1 ! pat*es be+ r+-%ap$--psoriasis circ9ata2 & occasionally sev]al su* r+s coalesce1 ! coalesc+ portions disappe>+ & ! eruption be m or less s]p5t9e--psoriasis gyrata4 ,or1 9 o!r in/ances1 sev]al l>ge contigu\s lesions may coalesce & a diffus$1 infiltrat$ pat* cov]+ consid]able surface results--psoriasis diffusa1 psoriasis invet]ata4 ,illu/ration3 ,fig4 #ag4 ,psoriasis4 ,is ! eruption ( psoriasis always dry8 ,yes4 ,:at c\rse does psoriasis pursue8 ,z a rule1 em95tly *ronic4 ,pat*es may rema9 almo/ indef9itely1 or may gradually disappe> & new lesions appe> else:]e1 & s ! disease may cont9ue = mon?s &1 sometimes1 = ye>s2 or1 aft] cont9u+ = a long] or %ort] p]iod1 may subside & ! sk9 rema9 free = sev]al mon?s or "o or two ye>s1 &1 9 r>e in/ances1 may nev] return4 ,illu/ration3 ,fig4 #ah4 ,psoriasis4 ,is ! c\rse ( psoriasis influ5c$ by ! seasons8 ,z a rule1 yes2 !re is a natural t5d5cy = ! disease to become less active or to disappe> altoge!r dur+ ! w>m mon?s4 ,:at is kn[n 9 reg>d to ! etiology ( psoriasis8 ,! causes ( ! disease are always m or less obscure4 ,!re is (t5 a h]$it>y t5d5cy1 & ! g\ty & rheumatic dia!sis mu/ occasionally be consid]$ pot5tial4 ,9 "s in/ances x is app>5tly influ5c$ by ! /ate ( ! g5]al heal?4 ,x is a r common disease & is met ) 9 all walks ( life4 ,is psoriasis contagi\s8 ,no4 ,9 rec5t ye>s ! fact ( its exhibit+ a family t5d5cy has be5 ?\ght z mu* sugge/ive ( contagi\sness z ( h]$ity4 ,:at is ! pa?ology8 ,accord+ to mod]n inve/igations1 x is an inflammation induc$ by hyp]plasia ( ! rete mucosum2 & x is beg9n+ to be believ$ t ?is hyp]plasia may h a p>asitic factor z ! />t+-cause4 ,) :at diseases are y likely to conf\nd psoriasis8 ,*iefly ) squam\s eczema & ! papulo-squam\s syphilod]m2 & on ! scalp1 also ) seborrhoea4 ,x c sc>cely be conf\nd$ ) r+worm4 ,h[ is psoriasis to be di/+ui%$ f squam\s eczema8 ,by ! %>ply-def9$1 circumscrib$1 scatt]$1 scaly pat*es1 & by ! hi/ory & c\rse ( ! individual lesions4 ,9 :at respects does ! papulo-squam\s syphilod]m diff] f psoriasis8 ,! scales ( ! squam\s syphilide are usually dirty gray 9 color & m or less scanty2 ! pat*es are copp]y 9 hue1 & usually sev]al or m *>act]i/ic scaleless1 infiltrat$ papules are to be f\nd4 ,! face1 palms1 & soles are (t5 ! seat ( ! syphilitic eruption2 &1 moreov]1 concomitant symptoms ( syphilis1 su* z sore ?roat1 muc\s pat*es1 gl&ul> enl>gem5t1 rheumatic pa9s1 fall+ out ( ! hair1 toge!r ) ! hi/ory ( ! initial lesion1 are "o1 sev]al1 or all usually pres5t4 ,h[ does seborrhoea diff] f psoriasis8 ,seborrhoea ( ! scalp is usually diffus$1 ) b little r$ness & no infiltration2 moreov]1 ! scales ( seborrhoea are greasy1 dirty gray or br[ni%1 :ile ^? ( psoriasis are dry & comonly :iti% or "m-(-pe>l color$4 ,psoriasis ( ! scalp r>ely exi/s indep5d5tly ( o!r pat*es else:]e on ! g5]al surface4 ,t v>iety ( seborrhoea1 commonly kn[n z eczema seborrhoicum1 pres5ts at times1 bo? on scalp & g5]al surface1 a /rong resemblance to psoriasis1 b ! "* ( ! scales & di/ribution ( psoriasis1 z above /at$1 are di/+ui%+ po9ts2 seborrhoea1 moreov]1 favors hairy surfaces & 9 ext5sive examples ! scalp1 eyebr[s1 /]nal1 & pubic regions r>ely escape4 ,h[ does psoriasis diff] f r+worm8 ,by its great] scal9ess1 by its high] degree ( inflammatory action1 & by its l>g] numb] ( pat*es1 z also by its hi/ory4 ,9 r+worm all ! pat*es t5d to cle> up 9 ! c5tre2 9 psoriasis ?is is r>ely1 if ev]1 s4 ,if !re is /ill any d\bt1 microscopic exam9ation ( ! scrap+s w det]m9e4 ,give ! prognosis ( psoriasis4 ,! prognosis is usually favorable1 s f> z conc]ns ! imm$iate eruption1 b z to recurr5ces1 no?+ positive c be /at$4 ,9 r>e in/ances1 h[ev]1 ! cure rema9s p]man5t4 ,h[ is psoriasis treat$8 ,bo? con/itutional & local rem$ies are dem&$ 9 mo/ cases4 ,d diet>y measures ex]t any influ5ce8 ,z a rule1 no2 b ! food %\ld be pla91 & an excess ( meat avoid$4 ,"n ! important con/itutional rem$ies usually employ$ 9 psoriasis4 ,ars5ic is ( fir/ importance4 ,x is n suitable 9 acute or m>k$ly inflammatory types2 b is mo/ useful 9 ! sluggi%1 *ronic =ms ( ! disease4 ,! dose %\ld nev] be pu%$ beyond slight physiological action4 ,x may be giv5 z ars5i\s acid 9 pill =m1 "o-fiftie? to "o-t5? ( a gra9 ?ree times daily1 or z ,f[l]'s solution1 ?ree to t5 m9ims at a dose4 ,alkalies1 ( :i* liquor potassae is ! mo/ eligible4 ,x is to be giv5 9 t5 to tw5ty m9im doses1 l>gely dilut$4 ,x is valuable 9 robu/1 ple?oric1 rheumatic or g\ty individuals ) psoriasis ( an acute or m>k$ly inflammatory type2 x is n to be giv5 to debilitat$ or anaemic subjects4 ,salic91 sodium salicylate1 & saloph5 9 mod]ately full doses act well 9 "s cases4 ,occasionally ?yroid prep>ations h a good effect4 ,potassium ,iodide1 9 doses ( ?irty to "o hundr$ gra9s1 t4d41 acts favorably 9 "s in/ances2 !re are no special indications po9t+ t[>d its selection1 unless x be ! exi/5ce ( a g\ty or rheumatic dia!sis4 ,oil ( copaiba1 potassium acetate1 oil ( turp5t9e1 oil ( junip]1 & o!r diuretics are valuable 9 "s in/ances1 &1 :ile (t5 fail+1 sometimes ex]t a rapid influ5ce1 especially 9 ^? cases 9 :i* ! disease is ext5sive & inflammatory4 ,w9e ( antimony1 giv5 cauti\sly1 is also sometimes ( s]vice 9 ! acute inflammatory type 9 robu/ subjects4 ,are su* rem$ies z iron1 qu99e1 nux vomica & cod-liv] oil ev] useful 9 psoriasis8 ,yes4 ,9 debilitat$ subjects ! adm9i/ration ( su* rem$ies is at times att5d$ ) improvem5t 9 ! cutane\s eruption4 ,:at are ! indications z reg>ds ! ext]nal measures8 ,removal ( ! scales1 & ! use ( soo?+ or /imulat+ applications1 accord+ to ! individual case4 ,h[ are ! scales remov$8 ,9 ord9>y cases1 ei!r by w>m1 pla91 or alkal9e ba?s1 or hot-wat]-&-soap wa%+s2 9 ^? cases 9 :i* ! scal+ is abundant & adh]5t1 wa%+ ) sapo viridis & hot wat] may be requir$4 ,ba?s ( sal ammoniac1 two to six ounces to ! ba? are also valuable 9 remov+ ! scal9ess4 ,! t9cture ( gre5 soap 7t9ctura saponis viridis7 is especially valuable = cleans+ purposes 9 psoriasis ( ! scalp4 ,! hot vapor ba? once or twice weekly is s]viceable 9 keep+ ! scal9ess 9 abeyance1 & has1 moreov]1 9 "s cases1 a !rapeutic value4 ,! frequ5cy ( ! ba?s or wa%+s w dep5d ^u ! rapidity ) :i* ! scales are reproduc$4 ,are soo?+ applications (t5 dem&$ 9 psoriasis8 ,9 exceptional cases2 9 ^? 9 :i* ! disease is acute1 m>k$ly inflammatory & rapidly progress+1 mild1 soo?+ applications mu/ be tempor>ily employ$1 su* z pla9 or bran ba?s1 ) ! use ( "s bl& oil or o9tm5t4 ,z a rule1 h[ev]1 ! conditions1 :5 com+ "u obs]vation1 are su* z to p]mit ( /imulat+ applications f ! />t4 ,! mo/ effici5t soo?+ applications are ! mild lotions & o9tm5ts employ$ 9 eczema ( acute type4 ,h[ are ! /imulat+ rem$ies employ$ 9 psoriasis appli$8 ,z o9tm5ts1 oils1 & pa9ts 7pigm5ta74 ,an o9tm5t1 if employ$1 is to be ?or\ghly rubb$ 9 ! diseas$ areas once or twice daily4 ,! same may be said ( ! oily applications4 ,! pa9ts 7m$icat$ collodion & gutta-p]*a solution7 are appli$ ) a bru%1 once daily1 or e second or ?ird day1 dep5d+ ma9ly ^u ! l5g? ( "t ! film rema9s intact & adh]5t4 ,"n ! sev]al important ext]nal rem$ies4 ,*rys>ob91 pyrogallol1 t>1 ammoniat$ m]cury1 beta-naph?ol1 & resorc94 ,are ^! sev]al ext]nal rem$ies equally s]viceable 9 all cases8 ,no4 ,_! action diff]s slightly or greatly accord+ to ! case & individual4 ,a *ange f "o to ano!r is (t5 necess>y4 ,9 :at =ms & /r5g? are ^! rem$ies to be appli$8 ,*rys>ob9 is appli$ 9 sev]al ways3 z an o9tm5t1 tw5ty to sixty gra9s to ! ounce1 rubb$ 9 once or twice daily2 ?is is ! mo/ rapid b lea/ cleanly & eligible me?od4 ,z a pigm5t1 or pa9t1 z 9 ! foll[+3-- ,rx ,*rys>ob9i1 444444444444444444444444 dramj ,acidi salicylici1 44444444444444444444 gr4 xx ,e!ris1 44444444444444444444444444444 fdramj ,ol4 ric9i1 44444444444444444444444444 m9imx ,collodii1 4444444444444444444444444444 fdramvij4 ,m4 ,or x may be us$ 9 liquor gutta-p]*ae 7traumatic971 a dra*m to ! ounce4 ,x may also be employ$ 9 *lor(orm1 a dra*m to ! ounce2 ?is is pa9t$ on1 ! *lor(orm evaporat+1 leav+ a ?9 film ( *rys>ob92 ov] ?is is pa9t$ flexible collodion4 ,if ! pat*es are few & l>ge1 *rys>ob9 rubb]-pla/] may be us$4 ,*rys>ob9 is usually rapid 9 its effect1 b x has c]ta9 disadvantages2 x may cause an inflammation ( ! surr\nd+ sk91 &1 if us$ ne> ! eyes1 may give rise to conjunctivitis4 ,z a rule1 x %\ld n be employ$ ab\t ! head4 ,moreov]1 x /a9s ! l95 p]man5tly & ! sk9 tempor>ily4 ,pyrogallol is valuable1 & is employ$ 9 ! same mann] & /r5g? z *rys>ob94 ,9 collodion x %\ld at fir/ n be us$ ( great] /r5g? ?an ?ree to f\r p] c5t41 z 9 ?is =m pyrogallol sometimes acts ) unexpect$ en]gy4 ,x is less rapid ?an *rys>ob91 b x r>ely inflames ! surr\nd+ integum5t4 ,x /a9s ! l95 a light br[n1 h[ev]1 & is n to be us$ ov] an ext5sive surface = fe> ( absorption & toxic effect4 ,oxidiz$ pyrogallic acid1 a some:at mild] drug 9 its effect1 has be5 highly comm5d$1 & has ! alleg$ advantage ( be+ free f toxic action4 ,t> is1 all ?+s consid]$1 ! mo/ important ext]nal rem$y4 ,x is comp>atively sl[ 9 its action1 b is useful 9 almo/ all cases4 ,z employ$ usually x is prescrib$ 9 o9tm5t =m1 ei!r z ! (ficial t> o9tm5t1 full /r5g? or weak5$ ) l>d or petrolatum4 ,x may also be us$ z pix liquida1 ) equal "p ( alcohol4 ,or ! t> oils1 oil ( cade 7ol4 cad9i71 & oil ( bir* 7ol4 rusci7 may be employ$1 ei!r z oily applications or incorporat$ ) o9tm5t or ) alcohol4 ,liquor c>bonis det]g5s1 9 o9tm5t1 "o to ?ree dra*ms to ! ounce ( simple c]ate & lanol9 is a mild t>ry application :i* is (t5 useful4 ,9 /ubborn pat*es an occasional ?or\gh rubb+ ) a mixture ( equal p>ts ( liquor c>bonis det]g5s & ,vlem9ckx's solution1 foll[$ by a mild o9tm5t1 sometimes proves ( value4 ,9 :atsoev] =m t> is employ$ x %\ld be ?or\ghly rubb$ 91 once or twice daily1 ! excess wip$ (f1 & ! p>ts !n du/$ ) />* or simil> p[d]4 ,ammoniat$ m]cury is appli$ 9 o9tm5t =m1 tw5ty to sixty gra9s to ! ounce4 ,comp>$ to o!r rem$ies x is clean & free f /a9+1 al?\gh1 z a rule1 n s uni=mly efficaci\s4 ,x is especially useful = application to ! scalp & expos$ p>ts4 ,x %\ld n be us$ ov] ext5sive surface = fe> ( absorption4 beta-,naph?ol & resorc9 are appli$ z o9tm5ts1 ?irty to sixty gra9s to ! ounce1 & z !y are 7especially ! =m]7 practically free f /a9+1 may be us$ = expos$ surfaces4 ,gallacetoph5one & ari/ol also act well 9 "s cases1 appli$ 9 five- to t5-p]-c5t4 /r5g?1 z o9tm5ts4 ,9 ob/9ate pat*es ! x-ray may be resort$ to1 employ+ x ) caution & 9 ! same mann] z 9 o!r diseases4 ,pityriasis ,rosea4 7,synonym3 ,pityriasis ,maculata et ,circ9ata47 ,:at d y und]/& by pityriasis rosea8 ,pityriasis rosea is a disease ( a mildly inflammatory nature1 *>act]iz$ by discrete1 & lat] frequ5tly conflu5t1 v>i\sly siz$1 slightly rais$ scaly macules ( a p9ki% to rosy-r$1 (t5 salmon-t+$1 color4 ,^u :at "p ( ! body is ! eruption usually f\nd8 ,! trunk is ! *ief seat ( ! eruption1 al?\gh n infrequ5tly x is m or less g5]al4 ,describe ! symptoms ( pityriasis rosea4 ,! lesions1 :i* appe> rapidly or sl[ly1 are b slightly elevat$1 some:at scaly1 usually r\nd$1 except :5 sev]al coalesce1 :5 an irregul>ly outl9$ pat* results4 ,at fir/ !y are pale or bright p9k or r$di%1 lat] a salmon t9t 7:i* is (t5 *>act]i/ic7 is notic$4 ,! scal9ess is bran-l or flaky1 ( a dirty gray color1 &1 z a rule1 less m>k$ 9 ! c5tral portion2 x is nev] abundant4 ,! sk9 is r>ely ?ick5$1 ! process be+ usually exce$+ly sup]ficial4 ,:at c\rse does pityriasis rosea pursue8 ,! eruption makes its appe>ance1 z a rule1 some:at rapidly1 usually atta9+ its full developm5t 9 ! c\rse ( "o or two weeks1 & !n beg9s gradually to decl9e1 ! :ole process occupy+ "o or two mon?s4 ,to :at is pityriasis rosea to be attribut$8 ,! cause is n kn[n2 x is v>i\sly consid]$ z alli$ to seborrhoea 7eczema seborrhoicum71 z be+ ( a vegetable-p>asitic orig91 & z a mildly inflammatory affection some:at simil> to psoriasis4 ,x is n a frequ5t disease4 ,h[ is pityriasis rosea di/+ui%$ f r+worm1 psoriasis & ! squam\s syphilod]m8 ,f r+worm1 by its rapid appe>ance1 its di/ribution1 ! numb] ( pat*es1 &1 if necess>y1 by microscopic exam9ation ( ! scrap+s4 ,psoriasis is a m inflammatory disease1 is se5 usually m abundantly ^u ! limbs1 ! scales are pr(use & silv]y1 & ! und]ly+ sk9 is r$ & has a glaz$ look2 moreov]1 psoriasis1 z a rule1 appe>s sl[ly & runs a *ronic c\rse4 ,! squam\s syphilod]m diff]s 9 its hi/ory1 di/ribution1 & above all1 by ! pres5ce ( concomitant symptoms ( syphilis1 su* z gl&ul> enl>gem5t1 sore ?roat1 muc\s pat*es1 rheumatic pa9s1 & fall+ out ( ! hair4 ,/ate ! prognosis ( pityriasis rosea4 ,x is favorable1 ! disease t5d+ to spontane\s disappe>ance1 usually 9 ! c\rse ( sev]al weeks or "o or two mon?s4 ,:at treatm5t is to be advis$ 9 pityriasis rosea8 ,laxatives & inte/9al antiseptics1 & o9tm5ts ( salicylic acid 7#e-ae gra9s to ! ounce71 ( sulphur 7#aj-dj gra9s to ! ounce72 or a comp\nd o9tm5t conta9+ bo? ^! +r$i5ts c be prescrib$4 ,! o9tm5t base c be equal p>ts ( :ite vasel9 & cold cream2 9 "s in/ances ,lass>'s pa/e 7/>* p[d]1 z9c oxid p[d]1 ea*1 dramij2 vasel91 dramiv7 seems m satisfactory4 ,d]matitis ,exfoliativa4 7,synonyms3 ,g5]al ,exfoliative ,d]matitis2 ,recurr5t ,exfoliative ,d]matitis2 ,desquamative ,sc>lat9i=m ,ery!ma2 ,acute ,g5]al ,d]matitis2 ,recurr5t ,exfoliative ,ery!ma2 ,pityriasis ,rubra47 ,describe d]matitis exfoliativa4 ,d]matitis exfoliativa is an inflammatory disease ( an acute type1 *>act]iz$ by a m or less g5]al ery!mat\s inflammation1 9 exceptional in/ances vesicul> or bull\s1 ) epid]mic desquamation or exfoliation accompany+ or foll[+ its developm5t4 ,con/itutional di/urbance1 :i* may be ( a s]i\s "*1 is sometimes pres5t4 ,x is a r>e & obscure affection1 runn+ its c\rse usually 9 sev]al weeks or mon?s1 b exhibit+ a decid$ t5d5cy to relapse & recurr5ce4 ,9 _m cases x is p]si/5tly *ronic1 ) exac]bations & remissions4 ,9 "s in/ances x develops f a long-cont9u$ & m or less g5]aliz$ eczema or psoriasis1 & 9 exceptional cases x is />t$ by ! c>eless use ( m]curial o9tm5t & ( *rys>ob9 o9tm5t4 ,illu/ration3 ,fig4 #ai4 ,d]matitis ,exfoliativa4 ,9 ano!r type ( ! disease1 =m]ly describ$ z pityriasis rubra1 ! sk9 is pale r$ or violace\s-r$1 b is r>ely ?ick5$1 cont9u$ exfoliation 9 ! =m ( ?9 plates tak+ place4 ,its c\rse is v>iable1 la/+ = ye>s1 ) remissions4 ,an exfoliat+ g5]aliz$ d]matitis is exceptionally obs]v$ 9 ! fir/ weeks ( life 7d]matitis exfoliativa neonatorum71 la/+ "s weeks1 & 9 mo/ cases foll[$ by recov]y4 ,!re are no special con/itutional symptoms1 ! fatal cases usually dy+ ( m>asmus4 ,z w be se5 d]matitis exfoliativa v>ies consid]ably 9 degree2 x may be extremely mild1 resembl+ 9 appe>ance ! sc>let-fev] eruption 7ery!ma sc>lat9i=me7 & runn+ a rapid c\rse2 or ! sk9-condition & ! sy/emic symptoms may be ( grave & p]si/5t "*4 ,give ! treatm5t ( d]matitis exfoliativa4 ,g5]al treatm5t is bas$ ^u indications1 & ext]nally soo?+ applications1 su* z are employ$ 9 acute & subacute eczema1 are to be us$4 ,li*5 ,planus4 ,:at is li*5 planus8 ,li*5 planus is an inflammatory disease *>act]iz$ by small1 flat & angul>1 smoo? & %9+1 or scaly1 discrete or conflu5t1 r$ or violace\s-r$ papules1 hav+ a di/9ctly papul> or papulo-squam\s c\rse1 & att5d$ ) m or less it*+4 ,describe ! symptoms ( li*5 planus4 ,! eruption1 z a rule1 beg9s sl[ly1 usually %[+ itself ^u ! extremities2 ! =e>ms1 wri/s & legs be+ favorite localities4 ,x may appe> z "o or m gr\ps or 9 ! =m ( %ort or long b&s4 ,occasionally its evolution is rapid & a consid]able "p ( ! surface may be invad$4 ,! lesions are p9-head to small pea-siz$1 irregul>ly gr\p$ or s closely cr[d$ toge!r z to =m solid pat*es2 !y are quadrangul> or polygonal 9 %ape1 usually flat1 ) c5tral depression or umbilication1 & are r$di% or violace\s 9 color4 ,at fir/ !y h a glaz$ or %9+ appe>ance2 lat]1 becom+ slightly scaly1 ! scal9ess be+ m m>k$ :]e solid pat*es h result$4 ,new papules may appe> f "t to "t1 ! old] lesions disappe>+ & leav+ p]si/5t r$di% or br[ni% pigm5tation4 ,exceptionally ! eruption pres5ts 9 b&s or l9es1 l r[s ( beads 7li*5 monili=mis74 ,v exceptionally a vesicul> or bleb t5d5cy 9 "s ( ! lesions has be5 not$2 d\btless1 9 mo/ in/ances at lea/1 ?is has be5 due to ! ars5ic s g5]ally adm9i/]$ 9 ?is disease4 ,9 r>e in/ances li*5 planus lesions are also se5 on ! glans p5is & on ! buccal muc\s membrane4 ,9 "s cases1 especially 9 ! region ( ! ankle1 ! papules become q l>ge 7li*5 planus hyp]trophicus71 & 9 occasional cases !re is a t5d5cy 9 "s ( ! lesions or pat*es to cle> up c5trally4 ,!re is1 z a rule1 consid]able it*+4 ,!re are no con/itutional symptoms4 ,:at is ! etiology ( li*5 planus8 ,9 "s cases ! disease is di/9ctly neurotic 9 "*1 9 o!rs no cause c be assign$4 ,x is m especially met ) at middle age1 & among ! weal?i]1 pr(essional1 & luxuri\s classes4 ,pa?ologically ! fir/ *ange not$ 9 ! epid]mis is ?\ght to be an acan?osis1 foll[$ by epi!lial atrophy1 & a hyp]k]atosis1 int]cellul> edema1 & colloid deg5]ation ( ! prickle cells4 ,does ! disease be> any resemblance to ! mili>y papul> syphilide1 psoriasis1 & papul> eczema8 ,9 "s in/ances x does1 b ! irregul> & angul> outl9e1 ! slightly-umbilicat$1 flatt5$1 smoo? or scaly summits1 & ! dull-r$ or violace\s color1 ! hi/ory & c\rse1 ( li*5 planus1 w s]ve to diff]5tiate4 ,/ate ! prognosis4 ,"u prop] managem5t ! eruption1 al?\gh (t5 ob/9ate1 yields to treatm5t4 ,:at treatm5t w\ld y prescribe 9 li*5 planus8 ,a g5]al tonic plan ( m$ication is indicat$ 9 mo/ cases1 ) su* rem$ies z iron1 qu99e1 nux vomica1 & cod-liv] oil & o!r nutri5ts4 ,9 _m in/ances ars5ic ex]ts a special influ5ce1 & %\ld always be tri$4 ,m]curials 9 mod]ate dosage h also a favorable action 9 mo/ cases4 ,locally1 antipruritic & /imulat+ applications1 su* z are us$ 9 ! treatm5t ( eczema1 are to be employ$1 alkal9e ba?s & t>ry applications des]v+ special m5tion4 ,liquor c>bonis det]g5s1 appli$ weak5$ ) sev]al p>ts wat]1 is a valuable application4 ,9 "s cases1 p>ticul>ly if ! disease is limit$1 ext]nal applications alone (t5 suffice to br+ ab\t a cure4 ,pityriasis ,rubra ,pil>is4 7,synonyms3 ,li*5 ,rub]2 ,li*5 ,rub] ,acum9atus47 ,describe pityriasis rubra pil>is4 ,pityriasis rubra pil>is is an extremely r>e disease1 usually ( a mildly inflammatory nature1 *>act]iz$ by grayi%1 pale-r$ or r$di%-br[n follicul> papules ) some:at h>d or horny c5tres2 discrete & conflu5t1 & cov]+ a "p or ! entire surface4 ,! sk9 is h>%1 dry & r\gh1 feel+ to ! t\* some:at l ! surface ( a nutmeg-grat] or a co>se file4 ,m or less scal9ess is usually pres5t 9 ! conflu5t pat*es & on ! palms & soles2 9 ^! latt] regions ! papules are r>ely se54 ,! duration ( ! disease is v>iable1 & relapses are common4 ,x be>s resemblance at times to k]atosis pil>is1 i*?yosis1 d]matitis exfoliativa2 x is consid]$ id5tical ) ! li*5 rub] acum9atus ( ,kaposi1 & by _m also ) ! li*5 rub] ( ,hebra4 ,! etiology is obscure4 ,treatm5t1 bo? con/itutional & local1 is to be bas$ ^u g5]al pr9ciples2 /imulat+ applications1 ) frequ5t ba?s1 su* z are advis$ 9 psoriasis1 are ! mo/ satisfactory4 ,x is rebelli\s1 & n mu* m ?an palliation c be effect$ 9 "s cases1 9 o!rs ! outlook is m hopeful4 ,li*5 ,scr(ulosus4 ,describe li*5 scr(ulosus4 ,li*5 scr(ulosus is a *ronic1 inflammatory disease1 *>act]iz$ by millet-se$-siz$1 r\nd$ or flat1 r$di% or yell[i%1 m or less gr\p$1 desquamat+ papules4 ,! lesions h _! />t ab\t ! hair-follicles1 occur usually ^u ! trunk1 t5d to gr\p & =m pat*es1 & soon] or lat] become cov]$ ) m9ute scales4 ,z a rule1 !re is no it*+4 ,x is a r>e disease1 & b seldom met ) 9 ,am]ica2 x is se5 *iefly 9 *ildr5 & "y p ( a scr(ul\s dia!sis4 ,sc>r+1 slight 9 "*1 may or may n foll[4 ,:at is ! treatm5t ( li*5 scr(ulosus8 ,! condition responds to tonics & anti-/rum\s rem$ies4 ,eczema4 7,synonym3 ,tett]2 ,salt ,rheum47 ,:at is eczema8 ,an acute1 subacute or *ronic inflammatory disease1 *>act]iz$ 9 ! beg9n+ by ! appe>ance ( ery!ma1 papules1 vesicles or pu/ules1 or a comb9ation ( ^! lesions1 ) a v>iable am\nt ( infiltration & ?ick5+1 t]m9at+ ei!r 9 dis*>ge ) ! =mation ( cru/s1 9 absorption1 or 9 desquamation1 & accompani$ by m or less int5se it*+ & a feel+ ( heat or burn+4 ,:at are ! sev]al prim>y types ( eczema8 ,ery!mat\s1 papul>1 vesicul> & pu/ul>2 all cases beg9 z "o or m ( ^! types1 b n infrequ5tly lose ^! *>act]s & develop into ! common cl9ical or second>y types--eczema rubrum & eczema squamosum4 ,illu/ration3 ,fig4 #bj4 ,papul> ,eczema 7leg74 ,:at o!r types are met ) cl9ically8 ,eczema rubrum1 eczema squamosum1 eczema fissum1 eczema scl]osum & eczema v]rucosum4 ,eczema seborrhoicum is probably a closely alli$ disease1 occupy+ a middle position betwe5 ord9>y eczema & seborrhoea4 ,describe ! symptoms ( ery!mat\s eczema4 ,ery!mat\s eczema 7eczema ery!matosum7 beg9s z "o or m small or l>ge1 irregul>ly outl9$ hyp]aemic macules or pat*es1 ) or )\t slight or m>k$ swell+1 & ) m or less it*+ or burn+4 ,at fir/ x may be ill-def9$1 b x t5ds to spread & its features to become m pron\nc$4 ,x may be limit$ to a c]ta9 region1 or x may be m or less g5]al4 ,:5 fully develop$1 ! sk9 is h>% & dry1 ( a mottl$1 r$di% or violace\s color1 ?ick5$1 infiltrat$ & usually slightly scaly1 )1 at times1 a t5d5cy t[>d ! =mation ( ooz+ areas4 ,punctate & l9e> scrat*-m>ks may usually be se5 scatt]$ ov] ! affect$ region4 ,illu/ration3 ,fig4 #ba4 ,eczema ,rubrum4 ,its mo/ common site is ! face1 b x is n infrequ5t ^u o!r p>ts4 ,:at c\rse does ery!mat\s eczema pursue8 ,x t5ds to *ronicity1 cont9u+ z ! ery!mat\s =m1 or ! sk9 may become consid]ably ?ick5$ & m>k$ly scaly1 con/itut+ eczema squamosum2 or a moi/ ooz+ surface1 ) m or less cru/+1 may take its place--eczema rubrum4 ,describe ! symptoms ( papul> eczema4 ,papul> eczema 7eczema papulosum7 is *>act]iz$ by ! appe>ance1 usually 9 numb]s1 ( discrete1 aggregat$ or closely-cr[d$1 r$di%1 p9-head-siz$ acum9at$ or r\nd$ papules4 ,vesicles & vesico-papules are (t5 int]m+l$4 ,! it*+ is commonly int5se1 z (t5 atte/$ by ! pres5ce ( scrat*-m>ks & blood cru/s4 ,illu/ration3 ,fig4 #bb4 ,eczema ,squamosum et tissum4 ,x is se5 mo/ frequ5tly ^u ! extremities1 especially ! flexor surfaces4 ,:at c\rse does papul> eczema pursue8 ,! lesions t5d1 soon] or lat]1 to disappe>1 b are usually replac$ by o!rs1 ! disease ?us p]si/+ = weeks or mon?s2 9 places :]e closely cr[d$1 a solid1 ?ick5$1 scaly %eet ( eruption may result--eczema squamosum4 ,describe ! symptoms ( vesicul> eczema4 ,vesicul> eczema 7,eczema vesiculosum7 usually appe>s1 on "o or sev]al regions1 z m or less diffus$ inflammatory r$d5$ pat*es1 ^u :i* rapidly develop num]\s closely-cr[d$ p9-po9t to p9-head-siz$ vesicles1 :i* t5d to become conflu5t & =m a solid %eet ( eruption4 ,! vesicles soon mature & rupture1 ! dis*>ge dry+ to yell[i%1 honeycomb-l cru/s4 ,! ooz+ is usually m or less cont9u\s1 or ! disease may decl9e1 ! cru/s be ca/ (f1 to be quickly foll[$ by a new crop ( vesicles4 ,9 ^? cases 9 :i* ! process is m>k$ly acute1 consid]able swell+ & oedema are pres5t4 ,scatt]$ papules1 vesico-papules & pu/ules may usually be se5 ^u ! involv$ area or ab\t ! bord]4 ,! face 9 infants 7cru/a lactea1 or milk cru/1 ( old] writ]s71 ! neck1 flexor surfaces & ! f+]s are its favorite localities4 ,:at c\rse does vesicul> eczema pursue8 ,usually *ronic1 ) acute exac]bations4 ,n infrequ5tly x passes into eczema rubrum4 ,describe ! symptoms ( pu/ul> eczema4 ,pu/ul> eczema 7eczema pu/ulosum1 eczema impetig9osum7 is probably ! lea/ common ( all ! v>ieties4 ,x is simil>1 al?\gh usually less actively inflammatory1 9 its symptoms to eczema vesiculosum1 ! lesions be+ pu/ul> f ! />t or develop+ f preexi/+ vesicles2 n infrequ5tly ! eruption is mix$1 ! pu/ules pr$om9at+4 ,!re is a m>k$ t5d5cy to ruptur+ ( ! lesions1 ! dis*>ge dry+ to ?ick1 yell[i%1 br[ni% or gre5i% cru/s4 ,its mo/ common sites are ! scalp & face1 especially 9 "y p & 9 ^? :o are ill-n\ri%$ & /rum\s4 ,:at c\rse does pu/ul> eczema pursue8 ,usually *ronic1 cont9u+ z ! same type1 or pass+ into eczema rubrum4 ,describe ! symptoms ( squam\s eczema4 ,squam\s eczema 7eczema squamosum7 may be def9$ z a cl9ical v>iety1 ! *ief symptoms ( :i* are a v>iable degree ( scal9ess1 m or less ?ick5+1 infiltration1 & r$ness1 ) commonly a t5d5cy to crack+ or fissur+ ( ! sk91 especially :5 ! disease is seat$ ab\t ! jo9ts4 ,x is develop$1 z a rule1 f ! ery!mat\s or papul> type4 ,it*+ is slight or int5se4 ,! disease is n uncommon ^u ! scalp4 ,:at is ! c\rse ( squam\s eczema8 ,ess5tially *ronic4 ,illu/ration3 ,fig4 #bc4 ,eczema ( ! ,face & ,scalp4 ,describe ! symptoms ( eczema rubrum4 ,eczema rubrum is *>act]iz$ by a r$1 raw-look+1 weep+1 ooz+ or dis*>g+ surface1 att5d$ ) m or less inflammatory ?ick5+1 infiltration & swell+2 ! exudation1 consi/+ ( s]um1 sometimes bloody1 dries into ?ick yell[i% or r$di%-br[n cru/s4 ,at "o "t ! :ole diseas$ area may be hidd5 "u a mass ( cru/+1 at o!r times a r$1 raw-look+1 weep+ surface 7eczema madidans7 is ! mo/ /rik+ feature4 ,it*+ is slight or int5se1 or ! subjective symptom may be a feel+ ( burn+4 ,x is an important cl9ical type1 usually develop+ f ! vesicul>1 pu/ul> or o!r prim>y v>iety4 ,x is common ab\t ! face & scalp 9 *ildr51 & ! middle & l[] "p ( ! leg 9 eld]ly p4 ,:at is ! c\rse ( eczema rubrum8 ,*ronic1 v>y+ 9 int5sity f "t to "t4 ,describe ! symptoms ( fissur$ eczema4 ,! conspicu\s symptom is a m>k$ t5d5cy to fissur+ or crack+ ( ! sk9 7eczema fissum2 eczema rimosum74 ,?is t5d5cy is usually a "p ( an ery!mat\s or squam\s eczema1 ! fissur+ con/itut+ ! mo/ conspicu\s & tr\blesome symptom4 ,*app+ is an extremely mild b famili> example ( ?is type4 ,x is especially common ab\t ! h&s & f+]s4 ,:at is ! c\rse ( fissur$ eczema8 ,x is m or less p]si/5t1 ! t5d5cy to fissur+ v>y+ consid]ably accord+ to ! /ate ( ! wea!r1 (t5 disappe>+ spontane\sly 9 ! summ] mon?s4 ,describe eczema scl]osum & eczema v]rucosum4 ,9 eczema scl]osum ! sk9 is ?ick5$1 infiltrat$1 h>d1 & almo/ horny4 ,eczema v]rucosum pres5ts simil> conditions1 b1 9 addition1 displays a t5d5cy to papill>y or w>t-l hyp]trophy4 ,9 bo? v>ieties ! disease is usually seat$ ab\t ! ankle or ! foot1 develop+ f ! papul> or squam\s type4 ,!y are uncommon1 & ob/9ately *ronic4 ,/ate ! nature ( ! subjective symptoms 9 eczema4 ,it*+1 commonly int5se1 is usually a conspicu\s symptom2 x may be m or less p>oxysmal4 ,9 "s cases burn+ & heat con/itute ! ma9 subjective ph5om5a4 ,is eczema accompani$ by febrile or sy/emic symptoms8 ,no4 ,9 r>e in/ances1 9 acute univ]sal eczema1 slight febrile action1 or o!r sy/emic di/urbance1 may be not$ at ! "t ( ! outbreak4 ,is ! eczemat\s eruption 7pat* or pat*es7 %>ply def9$ aga9/ ! neighbor+ s\nd sk98 ,no4 ,9 almo/ all in/ances ! diseas$ area m]ges gradually & imp]ceptibly into ! surr\nd+ heal?y integum5t4 ,:at is ! "* ( eczema z reg>ds ! degree ( inflammatory action8 ,! inflammatory action may be acute1 subacute or sluggi% 9 "*1 & may be s f ! />t & s cont9ue ?r\gh\t its :ole c\rse2 or x may1 z is usually ! case1 v>y 9 int5sity f "t to "t4 ,/ate ! "* ( eczema z reg>ds duration4 ,z a rule1 x is a p]si/5t disease1 %[+ little1 if any1 t5d5cy to spontane\s disappe>ance4 ,is eczema influ5c$ by ! seasons8 ,yes4 ,) comp>atively few exceptions ! disease is mo/ common & mu* worse 9 cold1 w9dy1 w9t] wea!r4 ,to :at may eczema be ascrib$8 ,eczema may be due to con/itutional or local causes1 or to bo?4 ,x may be consid]$1 9 fact1 z a reaction ( ! sk9 tissues aga9/ "s irritant1 & ! latt] may h its orig9 f )9 or )\t4 ,"n "s ( ! important con/itutional or pr$ispos+ causes4 ,g\ty dia!sis1 rheumatic dia!sis1 disord]s ( ! dige/ive tract1 g5]al debility or lack ( tone1 an exhau/$ /ate ( ! n]v\s sy/em1 d5tition & /ruma4 ,is a con/itutional cause suffici5t to provoke an attack8 ,yes2 b (t5 ! attack is br\ght ab\t 9 ^? s pr$ispos$ by "s local or ext]nal irritant4 ,m5tion "s ( ! ext]nal causes4 ,heat & cold1 %>p1 bit+ w9ds1 excessive use ( wat]1 /rong soaps1 vacc9ation1 dyes & dye/uffs1 *emical irritants1 & ! l4 ,!re is a gr[+ belief t "s cases pres5t+ eczemat\s aspects are probably p>asitic 9 orig94 ,9 fact1 "s obs]v]s hold to ! microbic view ( all cases ( eczema4 ,contact ) ! rhus plants1 :ile produc+ a peculi> d]matitis1 usually runn+ an acute c\rse t]m9at+ 9 recov]y1 may1 9 ^? pr$ispos$1 provoke a v]itable & p]si/5t eczema4 ,9 fact1 9 our exam9ation z to causes 9 a giv5 case1 especially ( ! h&s & face1 all possible excit+ factors %\ld be inquir$ into1 su* z ! h&l+ ( plants1 *emicals1 dyes1 etc4 ,illu/ration3 ,fig4 #bd4 ,eczema ( ,face4 ,is eczema contagi\s8 ,no4 ,! acceptance ( a p>asitic cause = ! disease1 h[ev]1 necess>ily c>ries ) x ! possibility ( contagi\sness "u favor+ conditions4 ,su* is n support$1 h[ev]1 by practical exp]i5ce4 ,:at is ! pa?ology8 ,! process is an inflammatory "o1 *>act]iz$ 9 all cases by hyp]aemia & exudation1 v>y+ 9 degree accord+ to ! int5sity & duration ( ! disease4 ,! rete & papill>y lay] are especially involv$1 al?\gh 9 sev]e & *ronic cases ! l[] "p ( ! corium & ev5 ! subcutane\s tissue may %>e 9 ! process4 ,d ! cutane\s manife/ations ( ! eruptive fev]s be> resemblance to ! ery!mat\s type ( eczema8 ,sc>lat9a & erysipelas may1 to a slight ext5t1 b ! pres5ce or abs5ce ( febrile & o!r con/itutional symptoms w usually s]ve to diff]5tiate4 ,:at common sk9 diseases resemble "s phases ( eczema8 ,psoriasis1 seborrhoea1 sycosis1 scabies & r+worm4 ,h[ w\ld y exclude psoriasis 9 a suspect$ case ( eczema 7squam\s eczema78 ,psoriasis occurs 9 v>i\sly-siz$1 r\nd$1 %>ply-def9$ pat*es1 usually scatt]$ irregul>ly ov] ! g5]al surface1 ) special pr$ilection = ! elb[s & knees4 ,!y are cov]$ m or less abundantly ) :iti%1 silv]y or "m-(-pe>l color$ imbricat$ scales4 ,! pat*es are always dry1 & it*+ is1 z a rule1 slight1 or may be entirely abs5t4 ,eczema1 on ! contr>y1 is (t5 localiz$1 appe>+ z "o or m l>ge1 irregul>ly diffus$ pat*es2 x m]ges imp]ceptibly into ! s\nd sk91 & !re is (t5 a hi/ory ( *>act]i/ic s]\s or gummy ooz+2 ! scal+ is usually slight & it*+ almo/ inv>iably a prom95t symptom4 ,h[ w\ld y exclude seborrhoea 7eczema seborrhoicum7 9 a suspect$ case ( eczema8 ,seborrhoea ( ! scalp is m commonly ov] ! :ole ( t region & is relatively free f inflammatory symptoms2 ! scales are ( a greasy "* & ! it*+ is usually slight or nil4 ,on ! o!r h&1 9 eczema ( ?is region ! p>ts are r>ely invad$ 9 _! entirety2 !re may be at times ! *>act]i/ic s]\s or gummy ooz+2 inflammatory symptoms are usually well-m>k$1 ! scales are dry & ! it*+ is1 z a rule1 a prom95t symptom4 ,^! same diff]5ces s]ve to diff]5tiate ! diseases 9 o!r regions4 ,h[ does scabies diff] f eczema8 ,scabies diff]s f eczema 9 its peculi> di/ribution1 ! pres5ce ( ! burr[s1 ! abs5ce ( any t5d5cy to pat* =mation1 & usually by a cle> hi/ory ( contagion4 ,h[ w\ld y exclude r+worm 9 a suspect$ case ( eczema8 ,r+worm is to be di/+ui%$ by its circul> =m1 its fad+ 9 ! c5tre1 & 9 d\btful cases by microscopic exam9ation ( ! scrap+s4 ,h[ does eczema diff] f sycosis8 ,sycosis is limit$ to ! hairy region ( ! face1 is di/9ctly a follicul> inflammation1 & is r>ely v it*y2 eczema is diffus$1 usually involves o!r p>ts ( ! face1 & it*+ is an annoy+ symptom4 ,/ate ! g5]al prognosis ( eczema4 ,! disease is1 "u favorable circum/ances1 curable1 "s cases yield+ m or less readily1 o!rs prov+ exce$+ly rebelli\s4 ,! l5g? ( "t to br+ ab\t a result is always unc]ta91 & an op9ion on ?is po9t %\ld be gu>d$4 ,^u :at w\ld y base y\r prognosis 9 ! individual case8 ,! ext5t ( disease1 its duration & previ\s behavior1 ! removability ( ! excit+ & pr$ispos+ causes1 & ! att5tion ! pati5t c give to ! treatm5t4 ,9 eczema involv+ ! lips1 face1 scrotum1 & leg1 & especially :5 ?is la/-nam$ exhibits a v>icose condition ( ! ve9s1 a cure is effect$1 z a rule1 only ?r\gh p]si/5t & prolong$ treatm5t4 ,does eczema ev] leave sc>s8 ,no4 ,^u ! legs1 9 long-cont9u$ cases1 m or less pigm5tation usually rema9s4 ,h[ is eczema treat$8 ,z a rule1 eczema requires = its removal bo? con/itutional & ext]nal treatm5t4 ,c]ta9 cases1 h[ev]1 seem to be entirely local 9 _! nature1 & 9 ^! cases ext]nal treatm5t alone w h satisfactory results4 ,:at g5]al measures z to hygi5e & diet are commonly advisable8 ,fre% air1 ex]cise1 mod]ate indulg5ce 9 cali/h5ics1 regul> habits1 a pla91 nutriti\s diet2 ab/5tion f su* articles ( food z pork1 salt$ meat1 acid fruits1 pa/ry1 gravies1 sauces1 *eese1 pickles1 condim5ts1 excessive c(fee or tea dr9k+1 etc4 ,z a rule1 also1 be]1 w9e1 & o!r /imulants are to be int]dict$4 ,^u :at gr\nds is ! l9e or plan ( con/itutional treatm5t to be bas$8 ,^u indications 9 ! individual case4 ,a c>eful exam9ation into ! pati5t's g5]al heal? w usually give ! cue to ! l9e ( treatm5t to be adopt$4 ,m5tion ! important rem$ies v>i\sly employ$ 9 ! con/itutional treatm5t4 ,tonics--su* z cod-liv] oil1 qu99e1 nux vomica1 ! vegetable bitt]s1 iron1 ars5ic1 malt1 etc4 ,alkalies--sodium salicylate1 potassium bic>bonate1 liquor potassae1 & li?ium c>bonate4 ,alt]atives--calomel1 col*icum1 ars5ic1 & potassium iodide4 ,diuretics--potassium acetate1 potassium citrate1 & oil ( copaiba4 ,laxatives--! v>i\s sal9es1 ap]i5t spr+ wat]s1 ca/or oil1 casc>a sagrada1 aloes & o!r vegetable ca?>tics4 ,dige/ives--peps91 pancreat91 muriatic acid & ! v>i\s bitt] tonics4 ,are !re any rem$ies :i* h a specific influ5ce8 ,no2 al?\gh ars5ic1 9 exceptional in/ances1 seems to ex]t a special action4 ,cod-liv] oil is also ( great value 9 "s cases4 ,^u ! :ole ! mo/ important rem$ies are ^? :i* keep 9 view ! ma9t5ance ( a prop] & heal?ful condition ( ! ga/ro-inte/9al tract1 & especially ) regul> & r free action ( ! b[els4 ,9 :at class ( cases does ars5ic (t5 prove ( s]vice8 ,9 ! sluggi%1 dry1 ery!mat\s1 scaly & papul> types4 ,9 :at cases is ars5ic usually contra9dicat$8 ,x %\ld nev] be employ$ 9 acute cases2 nor 9 any in/ance 7unless its action is wat*$71 9 :i* ! degree ( inflammatory action is m>k$1 z an aggravation ( ! disease usually results4 ,:at %\ld be ! "* ( ! ext]nal treatm5t8 ,x dep5ds ma9ly ^u ! degree ( inflammatory action2 b ! /age ( ! disease1 ! ext5t involv$1 & ! ability ( ! pati5t to c>ry out ! details ( treatm5t1 also h a be>+ ^u ! selection ( ! plan to be advis$4 ,:at is to be said ab\t ! use ( soap & wat] 9 eczema8 ,9 acute & subacute conditions soap & wat] are to be employ$1 z a rule1 z infrequ5tly & z sp>+ly z possible1 z ! disease is (t5 aggravat$ by _! too free use4 ,wa%+ is necess>y1 h[ev]1 = cleanl9ess & occasionally1 also1 = ! removal ( ! cru/s4 ,on ! o!r h&1 9 *ronic1 sluggi% types ! use ( soap & wat] frequ5tly has a !rapeutic value4 ,h[ (t5 %\ld rem$ial applications be made8 ,usually twice daily1 al?\gh 9 "s case1 & especially ^? ( an acute type1 applications %\ld be made e few h\rs4 ,m5tion sev]al rem$ies or plans ( treatm5t to be us$ 9 ! acute or actively inflammatory cases4 ,black wa% & oxide-(-z9c o9tm5t conjo9tly1 ! wa% ?or\ghly dabb$ on1 all[$ to dry1 ! p>ts g5tly sme>$ ) o9tm5t2 or ! o9tm5t may be appli$ spread on l9t z a pla/]4 ,boric-acid wa% 7#ae gra9s to ! ounce7 & oxide-(-z9c o9tm5t1 appli$ 9 ! same mann] z ! above4 ,a lotion conta9+ calam9e & z9c oxide1 ! s$im5t dry+ & coat+ ov] ! affect$ surface3-- ,rx ,calam9ae1 ,z9ci oxidi1 444 aa 444444444 dramij-dramiij ,glyc]9ae1 ,alcoholis1 44444 aa 444444444 fdramss ,liq4 calcis1 4444444444444444444444 f,ozij ,aquae1 4444444444 q4s4 ad 4444444444 f,ozvj4 ,m4 ,ano!r excell5t lotion some:at simil> to ! la/1 b ( oily "*1 is made up ( ?ree dra*ms ea* ( calam9e & z9c oxide1 "o dra*m ( boric acid1 t5 to ?irty drops ( c>bolic acid1 & ?ree ounces ea* ( lime-wat] & oil ( sweet almonds4 ,c>bolic-acid lotion1 ab\t two dra*ms to ! p9t ( wat]1 to :i* may be add$ two or ?ree dra*ms ea* ( glyc]9 & alcohol2 or1 if !re is int5se it*+1 c>bolic acid may be add$ to ! sev]al wa%es already m5tion$4 ,a lotion made ( "o or two dra*ms ( liquor c>bonis det]g5s,a to f\r ounces ( wat]4 ,! foll[+ wa%1 especially 9 ! dry =m ( ! disease3-- ,rx ,ac4 borici1 44444444444444444444444444 dramiv ,ac4 c>bolici1 44444444444444444444444 dramj ,glyc]9ae1 444444444444444444444444444 dramij ,alcoholis1 444444444444444444444444444 dramij ,aquae1 4444444444444 q4s4 ad 4444444444 ,oj4 ,m4 ,footnote ,a3 ,liquor c>bonis det]g5s is made by mix+ toge!r n9e ounces ( t9cture soap b>k & f\r ounces ( coal t>1 all[+ to dige/ = eight days1 & filt]+4 ,! t9cture ( soap b>k us$ is made ) "o p\nd ( soap b>k to "o gallon ( #ie p] c5t4 alcohol1 dige/+ = a week or s4 ,in/ead ( ! propriet>y "n above1 ,pr(4 ,duhr+ has sugge/$ t ( t9ctura picis m9]alis comp4 ,du/+-p[d]s1 ( />*1 z9c oxide & ,v5etian talc1 alone or sev]ally comb9$1 appli$ freely & (t51 s z to af=d protection to ! inflam$ surface3-- ,rx ,talci v5et1 ,z9ci oxidi1 4444444 aa 44444444 dramiv ,amyli1 4444444444444444444444444444444 ,ozj ,m4 ,if wa%es or du/+-p[d]s %\ld disagree or are n desirable or practicable1 o9tm5ts may be employ$1 su* z-- ,oxide-(-z9c o9tm5t1 cold cream1 petrolatum1 pla9 or c>bolat$1 dia*ylon o9tm5t 7if fre% & well prep>$71 & a pa/e-l o9tm5t1 z ! foll[+1 usually call$ salicylic-acid pa/e2 9 m>k$ly it*y cases1 five to fifte5 gra9s ( c>bolic may be add$ to ea* ounce3 ,rx ,ac4 salicylici1 4444444444444444444444 gr4 v-x ,pulv4 amyli1 ,pulv4 z9ci oxidi1 4444 aa 44444 dramij ,petrolati1 444444444444444444444444444 dramiv ,m4 ,or ! foll[+ o9tm5t3-- ,rx ,calam9ae1 4444444444444444444444444444 dramj ,ungt4 z9ci oxidi1 4444444444444444444 dramvij4 ,m4 ,"n sev]al ext]nal rem$ies & comb9ations useful 9 eczema ( a subacute or mildly inflammatory type4 ,! v>i\s rem$ies & comb9ations useful :5 ! symptoms are acute or m>k$ly inflammatory 7m5tion$ above71 & m especially ! sev]al foll[+3-- ,rx ,z9ci oxidi1 4444444444444444444444444 dramij ,liq4 plumbi subacetat4 dilut41 4444444 fdramvj ,glyc]9ae1 444444444444444444444444444 fdramij ,infus4 picis liq41 4444444444444444444 f,oziij ,m4 ,a lotion conta9+ resorc91 five to ?irty gra9s to ! ounce4 ,solution ( z9c sulphate1 "o-half to ?ree gra9s to ! ounce4 ,an o9tm5t conta9+ calomel or ammoniat$ m]cury1 z 9 ! annex$ =mula3-- ,rx ,hydr>gyri ammoniat4 seu ,hydr>gyri *loridi mit41 4444444444444444444 gr4 x-xxx ,ac4 c>bolici1 444444444444444444444 gr4 v-x ,ungt4 z9ci oxidi1 44444444444444444 ,ozj ,m4 ,ano!r =mula1 m especially useful 9 eczema ( ! h&s & legs1 is ! foll[+3-- ,rx ,ac4 salicylici1 4444444444444444444444 gr4 xxx ,emp4 plumbi1 ,emp4 saponis1 ,petrolati1 444444 aa 44444444444 ,ozj4 ,m4 7,?is is to be appli$ z a pla/]1 spread on /rips ( l9t1 & *ang$ e twelve or tw5ty-f\r h\rs47 ,! pa/e-l o9tm5t1 ref]r$ to z useful 9 acute eczema1 may also be us$ ) a l>g] proportion 7#bj to #fj gra9s to ! ounce7 ( salicylic acid4 ,! foll[+1 conta9+ t>1 may (t5 be employ$ ) advantage3-- ,rx ,ungt4 picis liq41 44444444444444444444 dramj ,ungt4 z9ci oxidi1 4444444444444444444 dramvij4 ,m4 ,:at is to be said 9 reg>d to ! use ( t>ry applications8 ,o9tm5ts or lotions conta9+ t> %\ld always be tri$ at fir/ ^u a limit$ surface1 z occasionally sk9s are met ) ^u :i* ?is rem$y acts z a m or less viol5t irritant4 ,! coal t> lotion 7liquor c>bonis det]g5s7 is ! lea/ likely to disagree & may be us$ z a mild o9tm5t1 "o or two dra*ms to ! ounce1 or x may be dilut$ & us$ z a weak lotion z already ref]r$ to4 ,:at ext]nal rem$ies are to be employ$ 9 eczema ( a sluggi% type8 ,! v>i\s rem$ies & comb9ations 7m5tion$ above7 useful 9 acute & subacute eczema may (t5 be employ$ ) b5efit1 b1 z a rule1 /rong] applications are necess>y1 especially 9 ! ?ick & lea!ry pat*es4 ,! foll[+ are ! mo/ valuable3-- ,an o9tm5t ( calomel or ammoniat$ m]cury2 =ty to sixty gra9s to ! ounce4 ,/rong salicylic-acid o9tm5t2 a half to "o dra*m ( salicylic acid to ! ounce ( l>d4 ,t> o9tm5t1 (ficial /r5g?2 or ! v>i\s t> oils1 alone or ) alcohol1 z a lotion1 or 9 o9tm5t =m4 ,liquor picis alkal9us,b is a valuable rem$y 9 *ronic ?ick5$1 h>d & v]ruc\s pat*es1 b is a /rong prep>ation & mu/ be us$ ) caution4 ,x is appli$ dilut$1 "o "p ) f eight to ?irty-two p>ts ( wat]2 or 9 o9tm5t1 "o or two dra*ms to ! ounce4 ,9 su* cases1 also1 ! foll[+ is useful3-- ,rx ,saponis viridis1 ,picis liq41 ,alcoholis1 4444444444 aa 4444444 dramiij4 ,m4 ,,sig4 ,to be well rubb$ 94 ,footnote ,b3 ,rx ,potassae1 44444444444444444444444444444 dramj ,picis liq41 44444444444444444444444444 dramij ,aquae1 44444444444444444444444444444444 dramv4 ,dissolve ! pota% 9 ! wat]1 & gradually add to ! t> 9 a mort>1 ) ?or\gh /irr+4 ,9 simil> cases1 also1 ! p>ts may be ?or\ghly wa%$ or scrubb$ ) sapo viridis & hot wat] until some:at t5d]1 r9s$ (f1 dri$1 & a mild o9tm5t appli$ z a pla/]4 ,lactic acid1 appli$ ) "o to t5 or m p>ts ( wat] is also ( value 9 ! scl]\s & v]ruc\s types4 ,cau/ic pota% solutions1 us$ cauti\sly1 may also be occasionally employ$ to advantage 9 ^! cases4 ,ano!r rem$y ( value 9 ^! cases1 z well z 9 o!rs ( m or less limit$ nature1 is ! x-ray4 ,exposures e few days1 ( %ort duration & #d to #aj in*es di/ance1 ) m$ium vacuum tube4 ,?is me?od has s]v$ me well 9 occasional cases2 caution is necess>y1 & x %\ld n be pu%$ fur!r ?an ! production ( ! milde/ reaction4 ,! repeat$ application ( a high-frequ5cy curr5t1 by means ( ! vacuum electrodes1 is a saf] & sometimes an equally b5eficial me?od4 ,is !re any me?od ( treat+ eczema ) fix$ dress+s8 ,sev]al plans h be5 advis$ f "t to "t2 "s are co/ly1 & "s require too great att5tion to details1 & are !re=e impracticable = g5]al employm5t4 ,! foll[+ are ^? 9 m common use3-- ,! gelat9 dress+1 z orig9ally ord]$1 is made by melt+ ov] a wat]-ba? "o "p ( gelat9 9 two p>ts ( wat]--quickly pa9t+ x ov] ! diseas$ area2 x dries rapidly1 & to prev5t crack+ glyc]9e is bru%$ ov] ! surface4 ,or ! glyc]9e may be incorporat$ ) ! gelat9 & wat] 9 ! foll[+ proportion3 glyc]9e1 "o "p2 gelat91 f\r p>ts1 & wat] eight p>ts4 ,m$ic9al sub/ances may be incorporat$ ) ! gelat9 mixture4 ,a good =mula is ! foll[+3-- ,rx ,gelat91 44444444444444444444444444444 ,ozj ,z9ci oxidi1 4444444444444444444444444 ,ozss ,glyc]9i1 444444444444444444444444444 ,oziss ,aquae1 44444444444444444444444444444444 ,ozii-,oziij4 ,?is %\ld be prep>$ ov] a wat]-ba?1 & two p] c5t4 i*?yol add$4 ,a ?9 gauze b&age c be appli$ to ! p>ts ov] :i* ?is dress+ is pa9t$1 be=e x is completely dry2 x makes a com=table fix$ dress+ & may rema9 on sev]al days4 ,pla/]-mull & gutta-p]*a pla/]4 ,! pla/]-mull1 consi/+ ( musl9 incorporat$ ) a lay] ( /iff o9tm5t1 & ! gutta-p]*a pla/]1 consi/+ ( musl9 fac$ ) a ?9 lay] ( ,india-rubb]1 ! m$ication be+ spread ^u ! rubb] coat+4 ,rubb] pla/]s4 ,^! are m$icat$ ) ! v>i\s drugs us$ 9 ! ext]nal treatm5t ( sk9 diseases1 & are (t5 ( s]vice 9 *ronic pat*es4 ,two new excipi5ts = fix$ dress+s h rec5tly be5 introduc$--bassor9 & plasm5t2 ! =m] is made f gum tragacan?1 & ! latt] f ,iri% moss4 ,! foll[+ is a satisfactory =mula = a tragacan? dress+3 ,rx ,tragacan?1 44444444444444444444444444 gr4 lxxv ,glyc]9i1 444444444444444444444444444 m9im xxx ,ac4 c>bolici1 44444444444444444444444 gr4 x-xx ,z9ci oxidi1 4444444444444444444444444 dramiss-dramiiss4 ,m4 ,?is is pa9t$ ov] ! p>ts & all[$ to dry1 & a mild du/+ p[d] spr9kl$ ov]4 ,x _c be us$ 9 w>m wea!r or 9 folds1 z x is apt to get /icky4 ,! foll[+ is a bassor9 pa/e :i* may be v>i\sly m$icat$4 ,rx ,bassor91 4444444444444444444444444444 dramx ,dextr91 44444444444444444444444444444 dramvj ,glyc]9i1 444444444444444444444444444 ,ozij4 ,aquae1 44444444444444444444444 q4s4 ad4 ,oziij4 ,x %\ld be prep>$ cold4 ,ano!r dry+ dress+ :i* may be us$ 9 cool wea!r is3 ,rx ,z9ci oxidi1 4444444444444444444444444 ,ozj ,glyc]9i1 444444444444444444444444444 ,ozss ,mucilag4 acaciae1 444444444444444444444 ,ozii-,oziv4 ,x may be v>i\sly m$icat$4 ,! pla/]-mull is us$ 9 all types1 especially ! acute2 ! gelat9 dress+1 & ! gutta-p]*a pla/]1 9 ! subacute & *ronic2 & ! rubb] pla/] 9 *ronic1 sluggi% pat*es only4 ,acacia1 tragacan?1 bassor9 & plasm5t applications are us$ 9 cases ( a subacute & *ronic "*4 ,prurigo4 ,def9e prurigo4 ,prurigo is a *ronic1 inflammatory disease1 *>act]iz$ by discrete1 p9-head- to small pea-siz$1 solid1 firmly-seat$1 slightly rais$1 pale-r$ papules1 accompani$ by it*+ & m or less g5]al ?ick5+ ( ! affect$ sk94 ,describe ! symptoms & c\rse ( prurigo4 ,! disease fir/ appe>s ^u ! tibial regions1 & its e>lie/ manife/ation may be urtic>ial1 b !re soon develop ! *>act]i/ic small1 millet-se$-siz$1 or l>g]1 firm elevations1 :i* may be ( ! natural color ( ! sk9 or ( a p9ki% t+e4 ,! lesions1 :il/ discrete1 are 9 great numb]s1 & closely cr[d$4 ,! ov]ly+ sk9 is dry1 r\gh & h>%2 it*+ is int5se1 &1 z a result ( ! scrat*+1 excoriations & blood cru/s are commonly pres5t4 ,9 consequ5ce ( ! irritation1 ! +u9al gl&s are enl>g$4 ,soon] or lat] ! integum5t becomes consid]ably ?ick5$1 h>d & r\gh4 ,eczemat\s symptoms may be sup]add$4 ,9 sev]e cases ! entire ext5sor surfaces ( ! legs & arms1 & 9 "s in/ances ! trunk also1 are invad$4 ,x is worse 9 ! w9t] season4 ,:at is kn[n 9 reg>d to etiology & pa?ology8 ,x is a disease ( ! ill-f$ & neglect$1 usually develop+ 9 e>ly *ildhood1 & p]si/+ ?r\gh\t life4 ,x is extremely r>e1 ev5 9 its mild] types1 9 ?is c\ntry4 ,cl9ically & pa?ologically x be>s "s resemblance to papul> eczema4 ,give ! prognosis & treatm5t ( prurigo4 ,! disease1 9 its sev]] types is1 z a rule1 incurable1 b mu* c be done to alleviate ! condition4 ,good1 n\ri%+ food1 pure air & ex]cise are ( importance4 ,tonics & cod-liv] oil are usually b5eficial4 ,! local managem5t is simil> to t employ$ 9 *ronic eczema4 ,an o9tm5t ( beta-naph?ol1 "o-half to five p] c5t4 /r5g?1 is highly extoll$4 ,acne4 ,give a def9ition ( acne4 ,acne is an inflammatory1 usually *ronic1 disease ( ! sebace\s gl&s1 *>act]iz$ by papules1 tub]cles1 or pu/ules1 or a mixture ( ^! lesions1 & seat$ usually ab\t ! face4 ,at :at age does acne usually occur8 ,betwe5 ! ages ( fifte5 & ?irty1 at :i* "t ! gl&ul> /ructures are naturally m or less active4 ,describe ! symptoms ( acne4 ,irregul>ly scatt]$ ov] ! face1 & 9 "s cases also ov] ! neck1 %\ld]s & upp] "p ( ! trunk1 are to be se5 sev]al1 fifty or m1 p9-head- to pea-siz$ papules1 tub]cles or pu/ules2 commonly ! eruption is ( a mix$ type 7acne vulg>is71 ! sev]al k9ds ( lesions 9 all /ages ( evolution & subsid5ce pres5t+ 9 ! s+le case4 ,int]sp]s$ may g5]ally be se5 blackheads1 or com$ones4 ,! lesions may be sluggi% 9 "*1 or !y may be m>k$ly inflammatory1 ) h>d & indurat$ bases4 ,9 ! c\rse ( sev]al days or weeks1 ! papules & tub]cles t5d gradually to disappe> by absorption2 or1 & z commonly ! case1 !y become pu/ul>1 dis*>ge _! cont5ts1 or dry & sl[ly or rapidly disappe>1 ) or )\t leav+ a p]man5t trace1 new lesions aris+1 "h & !re1 to take _! place4 ,9 exceptional in/ances ! eruption is limit$ to ! back1 & 9 ^! cases ! eruption is usually ext5sive & p]si/5t1 & n infrequ5tly leaves sc>s4 ,:at d y und]/& by acne punctata1 acne papulosa1 acne pu/ulosa1 acne indurata1 acne atrophica1 acne hyp]trophica1 & acne ca*ecticorum8 ,^! sev]al t]ms indicate t ! lesions pres5t are1 = ! mo/ "p1 ( "o p>ticul> "* or v>iety4 ,describe ! lesions giv+ rise to ! names ( ^! v>i\s types4 ,block+ up ( ! outlet ( ! sebace\s gl& 7com$o71 :i* is usually ! beg9n+ ( an acne lesion1 may cause a mod]ate degree ( hyp]aemia & inflammation1 & a slight elevation1 ) a c5tral yell[i% or blacki% po9t results--! lesion ( acne punctata2 if ! inflammation is ( a high] grade or progresses1 ! elevation is r$d5$ & m prom95t--acne papulosa2 if ! inflammatory action cont9ues1 ! int]ior or c5tral portion ( ! papule suppurates & a pu/ule results--acne pu/ulosa2 ! pu/ule1 9 "s cases1 may h a m>k$ly inflammatory & h>d base--acne indurata2 & n infrequ5tly ! lesions 9 disappe>+ may leave a pit-l atrophy or depression--acne atrophica2 or1 on ! contr>y1 connective-tissue new gr[? may foll[ _! disappe>ance--acne hyp]trophica2 &1 9 /rum\s or ca*ectic individuals1 ! lesions may be m or less furuncul> 9 type1 (t5 ( ! nature ( d]mic abscesses1 usually ( a cold or sluggi% "*1 & ( m g5]al di/ribution--acne ca*ecticorum4 ,:at is acne artificialis8 ,acne artificialis is a t]m appli$ to an acne or acne-l eruption produc$ by ! +e/ion ( c]ta9 drugs1 z ! bromides & iodides1 & by ! ext]nal use ( t>2 ?is is also call$ t> acne4 ,:at c\rse does acne pursue8 ,ess5tially *ronic4 ,! individual lesions usually run _! c\rse 9 sev]al days or "o or two weeks1 b new lesions cont9ue to appe> f "t to "t1 & ! disease ?us p]si/s1 ) m or less v>iation1 = mon?s or ye>s4 ,9 _m cases !re is1 t[>d ! age ( tw5ty-five or ?irty1 a t5d5cy to spontane\s disappe>ance ( ! disease4 ,illu/ration3 ,acne4 ,is ! eruption 9 acne usually abundant8 ,x v>ies 9 diff]5t cases & at diff]5t p]iods 9 ! same case4 ,9 "s in/ances1 n m ?an five or t5 papules & pu/ules are pres5t at "o "t2 9 o!rs !y may be num]\s4 ,n infrequ5tly sev]al lesions make _! appe>ance1 gradually run _! c\rse1 & ! face cont9ues free = days or "o or two weeks4 ,does ! eruption 9 acne disappe> )\t leav+ a trace8 ,9 _m in/ances no p]man5t trace rema9s1 b 9 o!rs slight or conspicu\s sc>r+ is left to m>k ! site ( ! lesions4 ,are !re any subjective symptoms 9 acne8 ,z a rule1 n2 b m>k$ly inflammatory lesions are pa9ful4 ,/ate ! imm$iate or direct cause ( an acne lesion4 ,hyp]secretion or ret5tion ( sebace\s matt]4 ,rec5t inve/igations po9t to ! possibility ( a special bacillus be+ ! excit+ cause1 9 "s in/ances at lea/4 ,! pyog5ic cocci are add$ factors 9 ! pu/ul> & furuncul> cases4 ,"n ! indirect or pr$ispos+ causes ( acne4 ,dige/ive di/urbance1 con/ipation1 m5/rual irregul>ities1 *lorosis1 g5]al debility1 lack ( tone 9 ! muscul> fibres ( ! sk91 scr(ulosis2 & m$ic9al sub/ances su* z ! iodides & bromides int]nally1 & t> ext]nally4 ,work+ 9 a du/y or dirty atmosph]e is (t5 influ5tial1 result+ 9 a block+-up ( ! gl& ducts4 ,workm5 9 p>aff9 oils or o!r petroleum products (t5 pres5t a furuncle-l acne4 ,! disease is m common 9 individuals ( light complexion4 ,is !re any difficulty 9 ! diagnosis ( acne8 ,n if x be rememb]$ t acne eruption is limit$ to c]ta9 p>ts & is always follicul>1 & t ! sev]al /ages1 f ! com$o to ! matur$ lesion1 are usually to be se5 9 ! individual case4 ,9 :at respect does ! pu/ul> syphilod]m diff] f acne8 ,by its g5]al di/ribution1 ! long] duration ( ! individual lesions1 ! d>k] color1 & ! pres5ce ( concomitant symptoms ( syphilis4 ,:at is ! pa?ology ( acne8 ,prim>ily1 acne is a folliculitis1 due to ret5tion or decomposition ( ! sebace\s secretion or to ! introduction ( a micro-organism2 subsequ5tly1 ! tissue imm$iately surr\nd+ becom+ involv$1 ) ! possible de/ruction ( ! sebace\s follicle z a result4 ,! degree ( inflammatory action det]m9es ! "* ( ! lesions4 ,/ate ! prognosis ( acne4 ,x is usually an ob/9ate disease1 b curable4 ,"s cases yield readily1 o!rs are exce$+ly rebelli\s1 especially acne ( ! back4 ,success dep5ds 9 a great measure ^u a recognition & removal ( ! pr$ispos+ condition4 ,treatm5t is ord9>ily a matt] ( mon?s4 ,:at measures ( treatm5t are usually dem&$ 9 acne8 ,con/itutional & local measures2 ! =m] :5 indicat$1 ! latt] always4 ,^u :at is ! con/itutional treatm5t bas$8 ,^u indications4 ,diet & hygi5ic measures are important4 ,9 dyspepsia & con/ipation1 bitt] tonics1 alkalies1 acids1 peps91 sal9e & vegetable laxatives1 are v>i\sly prescrib$4 ,special m5tion may be made ( ! foll[+3-- ,rx ,ext4 rhamni pur%4 fl41 44444444444444 fdramij-fdramiv ,t9ct4 nucis vom41 4444444444444444444 fdramiij ,t9ct4 c>damomi comp41 4444444q4s4 ad ,oziij4 ,m4 ,,sig4--fdramt4d4 ,or ,hunyadi ,janos or ,fri$ri*%all wat] may be employ$ = a laxative purpose4 ,9 *lorotic & anaemic cases ! f]rug9\s prep>ations are ( advantage4 ,cod-liv] oil is (t5 a rem$y ( great value1 & is especially useful 9 /rum\s & debilitat$ subjects4 ,calx sulphurata 9 pill =m1 "o-t5? to "o-f\r? gra9 f\r or five times daily1 is said1 acts well 9 ! pu/ul> v>iety4 ,9 "s in/ances1 m p>ticul>ly 9 sluggi% papul> acne1 ars5ic1 especially ! sulphide ( ars5ic1 acts favorably4 ,^u ! :ole1 ! l9e ( treatm5t t keeps 9 view prop] & heal?y action ( ! ga/ro-inte/9al canal is ! mo/ successful4 ,illu/ration3 ,acne ( back4 ,9 inflammatory cases occurr+ 9 robu/ individuals ! foll[+ is (t5 ( s]vice3-- ,rx ,potassii acetat41 44444444444444444444 dramiv ,liq4 potassae1 444444444444444444444444 fdramij ,liq4 ammonii acetat41 4444 q4s4 ad 444 f,oziij4 ,m4 ,,sig4--fdramj-fdramij t4d41 l>gely dilut$4 ,/ate ! "* ( ! local treatm5t 9 acne4 ,?is mu/ v>y some:at ) ! local conditions4 ,cases :i* are acute 9 "*1 9 ! s5se t ! lesions are m>k$ly hyp]aemic1 t5d] & pa9ful1 require mild] applications1 & 9 exceptional in/ances soo?+ rem$ies are to be prescrib$4 ,z a rule1 h[ev]1 /imulat+ applications may be employ$ f ! />t4 ,! rem$ies are1 = obvi\s reasons1 mo/ conv5i5tly appli$ at b$time4 ,:at prelim9>y measures are to be advis$ 9 ord9>y acne cases8 ,wa%+ ! p>ts g5tly or vigor\sly1 accord+ to ! irritability ( ! sk91 ) w>m wat] & soap2 subsequ5tly r9s+1 & spong+ = sev]al m9utes ) hot wat]1 & rubb+ dry ) a s(t t[el2 aft] :i* ! rem$ial application is made4 ,9 sluggi% & non-irritable cases sapo viridis or its t9cture may (t5 be advantage\sly us$ 9 place ( ! ord9>y toilet soap4 ,! blackheads1 s f> z practicable1 are to be remov$ by pressure ) ! f+]s or ) a suitable in/rum5t 7see ,com$o71 & ! sup]ficial pu/ules punctur$ & ! cont5ts press$ out4 ,scrap+ ! affect$ p>ts ) a blunt curette is a valuable measure1 b is tempor>ily disfigur+4 ,z a rule1 h[ev]1 cases d j z well )\t punctur+ & scrap+1 & ^! me?ods sometimes leave beh9d sc>r+4 ,/ate ! me?ods ( ext]nal m$ication commonly employ$4 ,by o9tm5ts & lotions4 ,if an o9tm5t is us$1 x is to be ?or\ghly rubb$ 91 9 small quantity2 if a lotion is employ$1 x is to be well %ak51 ! p>ts freely dabb$ ) x = sev]al m9utes & !n all[$ to dry on4 ,/ate ! object 9 view 9 local m$ication4 ,to ha/5 ! maturation & disappe>ance ( ! exi/+ lesions1 & to /imulate ! sk9 & gl&s to heal?y action4 ,if slight irritation or scal9ess results1 ! application is to be int]mitt$ "o or two nights2 9 ! meantime no?+ except ! hot-wat] spong+1 ) or )\t ! application ( a mild soo?+ o9tm5t1 is to be employ$4 ,is x usually necess>y to *ange f "o ext]nal rem$y to ano!r 9 ! c\rse ( treatm5t8 ,yes4 ,aft] a c]ta9 "t "o rem$y1 z a rule1 loses its effect1 & a *ange f lotion to o9tm5t or ! rev]se1 & f "o lotion or o9tm5t to ano!r1 w (t5 be f\nd necess>y 9 ord] to br+ ab\t cont9u\s improvem5t4 ,"n ! v>i\s important rem$ies & comb9ations employ$ 9 ! ext]nal treatm5t ( acne4 ,sulphur is ! mo/ valuable4 ,x may (t5 be appli$ ) b5efit z a simple o9tm5t3-- ,rx ,sulphur1 praecip41 44444444444444444444 dramss-dramj ,adipis b5z4 ,lanol91 444444444444 aa 4444444 dramij4 ,or x may be us$ z a lotion1 z 9 ! annex$ =mula3-- ,rx ,sulphur1 praecip41 44444444444444444444 dramiss ,pulv4 tragacan?ae1 4444444444444444444 gr4 x#a ,pulv4 camphorae1 4444444444444444444444 gr4 xx ,liq4 calcis1 44444444 q4s4 ad 44444444 f,oziv4 ,m4 ,ano!r lotion1 especially useful 9 ^? cases 9 :i* an oily condition ( ! sk9 is pres5t1 is ! foll[+3-- ,rx ,sulphur1 praecip41 44444444444444444444 dramiss ,e!ris1 44444444444444444444444444444 fdramiv ,alcoholis1 444444444444444444444444444 f,oziijss4 ,m4 ,a comp\nd lotion conta9+ sulphur 9 "o ( its comb9ations is also valuable 9 _m cases3-- ,rx ,z9ci sulphatis1 ,potassii sulphureti1 4444 aa 444 dramss-dramiv ,aquae1 44444444444444444444444444444444 ,oziv4 ,m4 7,! salts %\ld be dissolv$ sep>ately & !n mix$2 reaction takes place & ! result+ lotion1 :5 %ak51 is milky 9 appe>ance1 & free f odor2 all[$ to /& ! p>ticles settle1 ! s$im5t con/itut+ ab\t "o-f\r? to ?ree-f\r?s ( ! :ole bulk74 ,at times ! addition to ?is =mula ( sev]al dra*ms ( alcohol & ( five to t5 m9ims ( glyc]9 is ( advantage4 ,an ext]nal rem$y1 (t5 valuable1 is i*?yol4 ,x is ?us prescrib$3-- ,rx ,i*?yol1 4444444444444444444444444444 dramss-dramj ,c]at4 simp41 444444444444444444444444 dramiv4 ,m4 ,! v>i\s m]curial o9tm5ts1 especially "o ( :ite precipitate1 five to fifte5 p] c5t4 /r5g?1 are sometimes b5eficial4 ,a comp\nd lotion1 conta9+ m]cury1 :i* frequ5tly proves s]viceable1 is3-- ,rx ,hydr>g4 *lorid4 corros41 44444444444 gr4 ii-viij ,z9ci sulphatis1 444444444444444444444 gr4 x-xx ,t9ct4 b5zo9i1 444444444444444444444 fdramij ,aquae1 444444444444 q4s4 ad 44444444444 f,oziv4 ,9 extremely sluggi% cases ! foll[+1 us$ cauti\sly1 is ( value3-- ,rx ,i*?yol1 ,saponis viridis1 ,sulphur1 praecip41 ,lanol91 4444444444444 aa 444444 dramj4 ,9 su* in/ances ! application ( a /rong alcoholic resorc9 lotion1 t5 to tw5ty-five p] c5t4 /r5g?1 repeat$ sev]al times daily till m>k$ irritation & exfoliation occur 7a matt] usually ( "o to ?ree days71 w sometimes be foll[$ by m>k$ improvem5t4 ,acne ( ! back is treat$ ) ! same applications1 b usually /rong]2 9 ?is region applications ( ,vlem9ckx's solution & =maldehyde solution1 weak5$ consid]ably1 at fir/ at lea/1 prove ( value4 ,ob/9ate & indurat$ lesions may be incis$1 ! cont5ts press$ out1 & ! int]ior t\*$ ) c>bolic acid by means ( a po9t$ /ick4 ,! x-ray has prov$ a mo/ valuable addition to our res\rces 9 ! treatm5t ( acne1 & is especially s]viceable 9 ext5sive & ob/9ate cases4 ,an exposure %\ld be made ab\t twice weekly1 at a di/ance ( five to t5 in*es & = f ?ree to t5 m9utes1 & a tube ( m$ium vacuum us$4 ,x mu/ be us$ ) great caution & nev] beyond ! production ( ! milde/ ery!ma4 ,! hair1 eyes1 & lips %\ld be protect$4 ,! x-ray treatm5t is be/ res]v$ = ob/9ate cases1 & !n us$ mildly1 & r z an adjuvant to ! ord9>y me?ods ?an z ! sole measure4 ,:at precaution is to be tak5 9 advis+ a *ange f a sulphur to a m]curial prep>ation or ! rev]se8 ,sev]al days %\ld be all[$ to int]v5e1 o!rwise a disagreeable1 al?\gh tempor>y1 /a9+ or d>k5+ ( ! sk9 results--f ! =mation ( ! black sulphuret ( m]cury4 ,acne ,rosacea4 ,give a descriptive def9ition ( acne rosacea4 ,acne rosacea is a *ronic1 hyp]aemic or inflammatory disease1 limit$ to ! face1 especially to ! nose & *eeks1 *>act]iz$ by r$ness1 dilatation & enl>gem5t ( ! bloodvessels1 m or less acne & hyp]trophy4 ,describe ! symptoms ( acne rosacea4 ,! disease may be slight or well-m>k$4 ,r$ness1 capill>y dilatation1 & acne lesions seat$ on ! nose & *eeks1 & sometimes on *9 & =ehead also1 con/itute 9 mo/ cases ! entire symptomatology4 ,a mild v>iety consi/s 9 simple r$ness or hyp]aemia1 involv+ ! nose *iefly & (t5 exclusively1 & is to be look$ ^u z a passive conge/ion2 ?is is n uncommon 9 "y adults & is (t5 associat$ ) an oily seborrhoea ( ! same p>ts4 ,9 _m cases ! condition does n progress beyond ?is /age4 ,9 o!r cases1 h[ev]1 soon] or lat] ! dilat$ capill>ies become p]man5tly enl>g$ 7telangiectasis7 & acne lesions are (t5 pres5t--con/itut+ ! middle /age or grade ( ! disease2 ?is is ! type mo/ frequ5tly met )4 ,9 exceptional in/ances1 /ill fur!r hyp]trophy ( ! bloodvessels ensues1 ! gl&s are enl>g$1 & a v>iable degree ( connective-tissue new gr[? is add$2 ?is latt] is usually slight1 b may be excessive1 ! nose pres5t+ an enl>g$ & lobulat$ appe>ance 7rh9ophyma74 ,illu/ration3 ,fig4 #be4 ,acne ,rosacea4 ,are !re any subjective symptoms 9 acne rosacea8 ,z a rule1 no4 ,"s ( ! acne lesions may be t5d] & pa9ful1 & at times !re is a feel+ ( heat & burn+4 ,:at d y "k 9 reg>d to ! etiology8 ,9 _m cases ! causes are obscure4 ,*ronic dige/ive & inte/9al disord]s1 anaemia1 *lorosis1 cont9u$ exposure to heat or cold1 m5/rual & ut]9e irregul>ities1 & ! too free use ( spiritu\s liquors1 tea1 etc4 are (t5 responsible factors4 ,x is ess5tially a disease ( adult life1 common ab\t middle age1 occurr+ 9 bo? sexes1 b r>ely rea*+ ! same degree ( developm5t 9 wom5 z obs]v$ at times 9 m54 ,is acne rosacea easily recogniz$8 ,yes4 ,! r$ness1 acne lesions1 dilat$ capill>ies1 &1 at times1 ! gl&ul> & connective-tissue hyp]trophy2 ! limitation ( ! eruption to ! face1 especially ! region ( ! nose2 ! evid5t involvem5t ( ! sebace\s gl&s1 ! abs5ce ( ulc]ation1 tak5 ) ! hi/ory ( ! case1 are *>act]i/ic4 ,x is to be di/+ui%$ f ! tub]cul> syphilod]m & lupus vulg>is1 diseases to :i* x may be> r\gh resemblance4 ,/ate ! prognosis ( acne rosacea4 ,all cases may be favorably influ5c$ by treatm5t2 ! mild & mod]ately-develop$ types are1 z a rule1 curable1 b usually ob/9ate4 ,x is a p]si/5t disease1 %[+ little1 if any1 t5d5cy to disappe> spontane\sly4 ,:at is ! me?od ( treatm5t8 ,bo? con/itutional & local measures are dem&$ 9 mo/ cases4 ,^u :at is ! con/itutional treatm5t to be bas$8 ,! con/itutional treatm5t1 beyond a regulation ( ! diet1 is to be bas$ ^u a correct appreciation ( ! etiological factors 9 ! individual case4 ,!re are no special rem$ies4 ,iron1 cod-liv] oil1 tonics1 ergot1 alkalies1 sal9e laxatives1 & simil> drugs are to be v>i\sly prescrib$4 ,:at is ! ext]nal treatm5t8 ,9 _m respects1 bo? z to ! prelim9>y measures & rem$ies1 ess5tially ! same z t employ$ 9 ! treatm5t ( simple acne 7q4 v474 ,! x-ray treatm5t is n s effici5t 9 ?is disease1 h[ev]1 z 9 acne4 ,9 addition to ! treatm5t !re f\nd1 sev]al o!r applications des]ve m5tion3-- ,9 _m cases ,vlem9ckx's solution,c is valuable1 appli$ dilut$ ) "o to t5 p>ts ( wat]4 ,also1 a mucilag9\s pa/e conta9+ sulphur3-- ,rx ,mucilag4 acaciae1 444444444444444444444 fdramiij ,glyc]9ae1 444444444444444444444444444 fdramij ,sulphur1 praecip41 44444444444444444444 dramiij4 ,m4 ,footnote ,c3 ,rx ,calcis1 444444444444444444444444444444 ,ozss ,sulph4 sublimat41 44444444444444444444 ,ozj ,aquae1 44444444444444444444444444444444 ,ozx4 ,to be boil$ d[n to ,ozvj & filt]$4 ,or a simil> pa/e ) ! glyc]9e 9 ! =ego+ replac$ ) i*?yol may be us$4 ,9 :at mann] are ! dilat$ bloodvessels & connective-tissue hyp]trophy to be treat$8 ,! enl>g$ capill>ies are to be de/roy$ by incision or by electrolysis4 ,prop]ly manag$ ! vessels may be ?us de/roy$1 b unless ! pr$ispos+ causes h disappe>$ or h be5 rem$i$1 a new gr[? may take place4 ,if ! knife is employ$1 ! vessels are ei!r slit 9 _! l5g? or cut transv]sely at sev]al po9ts4 ,! me?od by electrolysis is ! same z us$ 9 ! removal ( sup]flu\s hair 7q4 v4742 ! ne$le may1 if ! vessel is %ort1 be ins]t$ along its calibre1 or if long1 may be ins]t$ at sev]al po9ts 9 its l5g?4 ,excessive connective-tissue gr[?1 exceptionally met )1 is to be treat$ by ablation ) ! scissors or knife4 ,acne ,v>ioli=mis4 7,synonyms3 ,acne ,frontalis2 ,acne ,rod5s2 ,acne ,necrotica2 ,lupoid ,acne2 ,necrotic ,granuloma47 ,describe acne v>ioli=mis4 ,acne v>ioli=mis is *>act]iz$ by lesions ( a mod]ately sup]ficial papulo-pu/ul> type1 :i* 9 disappe>+ leave slight or pit-l sc>s4 ,! =ehead & scalp are ! favorite sites1 b !y may also occur else:]e4 ,! eruption is r scanty z a rule1 consi/+ usually ( t5 to ?irty lesions4 ,!y beg9 z small maculo-papules1 z papules1 or z m9ute nodules 9 or on ! sk91 & gradually become small pea-siz$1 ) a t5d5cy to slight vesiculation or pu/ulation at ! c5tral "p4 ,! lesion is sluggi% 9 its c\rse1 dry+ to a ?9 cru/1 :i* f9ally falls (f1 leav+ a depress$ v>iola-l sc>4 ,new lesions arise f "t to "t1 & ! disease ?us cont9ues almo/ indef9itely4 ,!re may or may n be it*+4 ,9 :at appe>s to be a v>iety ( ?is disease1 kn[n usually z acne urticata1 !re is consid]able it*+ j at ! "t ! lesion is appe>+4 ,! malady is n frequ5t1 b occurs 9 bo? sexes1 usually 9 ^? betwe5 ! ages ( tw5ty & fifty4 ,x seems probable t ! eruption is p>asitic 9 orig94 ,! maladies v>i\sly kn[n z hydrad5itis suppurativa1 acnitis1 spirad5itis1 folliclis1 granuloma necroticum1 etc41 9 :i* ! lesions1 prim>ily at lea/1 are some:at deep] seat$1 sluggi% 9 _! c\rse1 & foll[$ by sc>r+1 c\ld be also includ$ "u ?is head4 ,give ! prognosis & treatm5t4 ,! disease is rebelli\s & t5ds to recur4 ,! mo/ effici5t applications are ^? ( sulphur & resorc91 ! same z prescrib$ 9 ord9>y acne4 ,sycosis4 7,synonyms3 ,sycosis ,vulg>is2 ,sycosis ,non-p>asitica2 ,folliculitis ,b>bae2 ,sycosis ,coccog5ica47 ,:at d y und]/& by sycosis8 ,sycosis is a *ronic1 inflammatory affection involv+ ! hair-follicles1 usually ( ! m\/a*e & be>d$ regions only1 & *>act]iz$ by papules1 tub]cles1 & pu/ules p]=at$ by hairs4 ,describe ! symptoms ( sycosis4 ,sycosis beg9s by ! =mation ( papules & pu/ules ab\t ! hair-follicles2 ! lesions occur 9 numb]s1 9 close proximity1 & toge!r ) ! accompany+ inflammation1 make up a small or l>ge area4 ,! pu/ules are small1 r\nd$1 flat or acum9at$1 discrete1 & yell[i% 9 color2 !y are p]=at$ by hairs1 %[ no t5d5cy to rupture1 & are apt to occur 9 crops1 dry+ to ?9 yell[i% or br[ni% cru/s4 ,papules & tub]cles are (t5 int]m+l$4 ,m or less swell+ & infiltration are noticeable4 ,illu/ration3 ,fig4 #bf4 ,sycosis--n infrequ5tly beg9s 91 & sometimes limit$ to1 ?is region4 ,! disease is se51 z a rule1 only on ! be>d$ "p ( ! face1 ei!r ab\t ! *eeks1 *9 or upp] lip1 involv+ a small portion or ! :ole ( ^! p>ts4 ,x is also sometimes met ) involv+ ! hair follicles j )9 ! nasal orifice1 & may ev5 be limit$ to ?is region4 ,occasionally a sycosi=m eruption1 usually ( ! side ( ! be>d$ region1 leaves beh9d a smoo? or keloidal sc>1 ! disease gradually ext5d+--ul]y!ma sycosi=me 7lupoid sycosis74 ,an inflammation ( ! hair-follicles ( ! scalp app>5tly sycosi=m 9 "*1 occurr+ z discrete or aggregat$ lesions1 is sometimes obs]v$1 ! follicles be+ de/roy$ & atrophy or slight sc>r+ result+--folliculitis decalvans4 ,does conspicu\s hair loss occur 9 sycosis8 ,ord9>ily n2 ! hairs are1 especially at fir/1 usually firmly seat$1 b 9 ^? cases 9 :i* suppuration is active1 & has involv$ ! follicles1 !y may1 z a rule1 be easily extract$4 ,9 "s cases de/ruction ( ! follicles ensues & slight sc>r+ & p]man5t hair loss result4 ,/ate ! "* ( ! subjective symptoms4 ,pa9 & it*+ & a s5se ( burn+1 v>iable z to degree1 may be pres5t4 ,:at is ! c\rse ( ! disease8 ,ess5tially *ronic1 ! inflammatory action be+ ( a subacute or sluggi% "*1 ) acute exac]bations4 ,/ate ! causes ( sycosis4 ,^u ! upp] lip x may h its orig9 9 a nasal cat>rh4 ,entrance into ! follicles ( pyog5ic micrococci is n[ reg>d$ z ! ess5tial factor4 ,?is view be+ accept$1 c>ries ) x ! possibility ( contagi\sness4 ,x is se5 9 ! male sex only1 usually 9 ^? betwe5 ! ages ( tw5ty-five & fifty2 & is met ) 9 ^? 9 good & bad heal?1 & among ri* & poor4 ,x is comp>atively infrequ5t4 ,:at is ! pa?ology ( sycosis8 ,! disease is prim>ily a p]ifolliculitis1 ! follicle & its %ea? subsequ5tly becom+ involv$ 9 ! inflammatory process4 ,h[ w\ld y di/+ui% sycosis f eczema8 ,eczema is r>ely %>ply limit$ to ! be>d$ region1 b is apt to involve o!r p>ts ( ! face2 moreov]1 ! lesions are usually conflu5t1 & !re is ei!r an ooz+1 r$ cru/$ surface1 or x is dry & scaly4 ,h[ w\ld y exclude t9ea sycosis 9 ! diagnosis8 ,9 t9ea sycosis1 or r+worm sycosis1 ! hi/ory ( ! case is diff]5t4 ,! p>ts are di/9ctly lumpy & nodul>2 ! hairs are soon involv$ & become dry1 brittle1 loose1 & fall out1 or !y may be readily extract$4 ,! sup]ficial type ( r+worm sycosis is readily di/+ui%$ by ! r+-l "* ( ! pat*es4 ,9 d\btful cases1 microscopic exam9ation ( ! hairs may be resort$ to4 ,give ! prognosis ( sycosis4 ,! disease is curable1 b almo/ inv>iably ob/9ate & rebelli\s to treatm5t4 ,! duration1 ext5t1 & "* ( ! inflammatory process mu/ all be consid]$4 ,an expression ( an op9ion z to ! l5g? ( "t requir$ = a cure %\ld always be gu>d$4 ,ul]y!ma sycosi=me is extremely ob/9ate4 ,folliculitis decalvans is also rebelli\s4 ,h[ is sycosis to be treat$8 ,ma9ly1 & (t5 exclusively1 by ext]nal applications4 ,illu/ration3 ,fig4 #bg4 ,sycosis4 ,is con/itutional treatm5t ( no avail 9 sycosis8 ,9 "s in/ances2 b1 z a rule1 x is negative4 ,if indicat$1 su* rem$ies z tonics1 alt]atives1 cod-liv] oil & ! l are to be prescrib$4 ,describe ! ext]nal treatm5t4 ,cru/+1 if pres5t1 is to be remov$ by w>m embrocations4 ,if ! inflammation is ( a high grade1 & ! p>ts t5d] & pa9ful1 soo?+ applications1 su* z bl& oils1 black wa% & oxide-(-z9c o9tm5t1 cold cream & petrolatum1 are to be us$2 boric-acid solution1 fifte5 gra9s to ! ounce1 may be advis$ 9 place ( black wa%4 ,9 mo/ cases1 h[ev]1 a/r+5t & /imulat+ rem$ies are dem&$ f ! />t1 su* z3 dia*ylon o9tm5t1 alone or ) t5 to ?irty gra9s ( calomel to ! ounce2 oleate ( m]cury1 z a five- to tw5ty-p]-c5t4 o9tm5t2 precipitat$ sulphur1 "o to ?ree dra*ms to ! ounce ( b5zoat$ l>d1 or l>d & lanol92 a t5- to tw5ty-five-p]-c5t4 i*?yol o9tm5t2 & resorc9 lotion or o9tm5t1 t5 to tw5ty p] c5t4 /r5g?4 ,illu/ration3 ,fig4 #bh4 ,sycosis4 ,a *ange f "o application to ano!r w be f\nd necess>y 9 almo/ all cases4 ,9 ob/9ate cases ! x-ray treatm5t c be us$1 z x has prov$ itself valuable 9 "s in/ances2 z 9 o!r diseases1 x %\ld be employ$ cauti\sly4 ,:at w\ld y advise 9 reg>d to %av+8 ,:5 be>able 7& aft] a few days' application ( soo?+ rem$ies x almo/ always is71 x is to be advis$ 9 all cases1 z x mat]ially aids 9 ! treatm5t4 ,aft] a cure is effect$ x %\ld be cont9u$ = "s mon?s1 until ! heal?y condition ( ! p>ts is ?or\ghly e/abli%$4 ,:5 is depilation advisable z a !rapeutic measure8 ,:5 ! suppurative process is active1 9 ord] to save ! follicles f de/ruction2 incis+ or punctur+ ! pu/ules w (t5 accompli% ! same end4 ,depilation is 9 all cases a valuable !rapeutic measure1 b x is pa9ful2 z a r\t9e practice1 %av+ is less objectionable &1 ^u ! :ole1 is probably z satisfactory4 ,^? :o make free use ( ! x-ray commonly pu% x to ! po9t ( produc+ depilation4 ,d]matitis ,papill>is ,capillitii4 7,synonym3 ,acne ,keloid47 ,illu/ration3 ,fig4 #bi4 ,d]matitis ,papill>is ,capillitii4 ,describe d]matitis papill>is capillitii4 ,?is is a peculi>1 mildly inflammatory1 sycosi=m1 keloidal1 acne-l disease ( ! hairy bord] ( ! back ( ! neck1 (t5 ext5d+ upw>d to ! occipital region2 p>tak+1 especially lat] 9 its c\rse1 some:at ( ! nature ( keloid4 ,sev]al or m acne-l lesions1 papul> & pu/ul>1 closely gr\p$ or bun*$1 appe>1 develop+ sl[ly1 usually to ! size ( peas2 are r$1 pale r$1 or :iti%1 (t5 envelop+ small tufts ( hair1 & att5d$ ) m or less hair loss4 ,its c\rse is gradual & p]si/5t4 ,x is an exce$+ly r>e condition1 ! exact nature ( :i* is /ill obscure4 ,give ! treatm5t4 ,treatm5t1 :i* is usually unsatisfactory1 consi/s ( /imulat+ applications--! same1 9 fact1 z employ$ 9 sycosis1 sulphur & i*?yol des]v+ special m5tion4 ,depilation is ess5tial4 ,impetigo ,contagiosa4 ,give a descriptive def9ition ( impetigo contagiosa4 ,impetigo contagiosa is an acute1 contagi\s1 inflammatory disease1 *>act]iz$ by ! =mation ( discrete1 sup]ficial1 flat1 r\nd$1 or ovali% vesicles or blebs1 soon becom+ vesico-pu/ul>1 & dry+ to ?9 yell[i% cru/s4 ,^u :at p>ts does ! eruption commonly appe>8 ,^u ! face1 scalp1 & h&s1 & exceptionally ^u o!r regions4 ,describe ! symptoms ( impetigo contagiosa4 ,"o1 sev]al or m small p9-head-siz$ papulo-vesicles or vesicles make _! appe>ance1 usually ^u ! face & f+]s4 ,9 ! male adult ! region ( ! neck & be>d is a favorite situation4 ,!y increase 9 size by ext5d+ p]iph]ally1 b are m or less flatt5$ & umbilicat$1 & are )\t conspicu\s areola4 ,! lesions may atta9 ! size ( a dime or l>g]1 & :5 close toge!r may coalesce & =m a l>ge pat*4 ,9 "s cases di/9ct blebs result1 & a picture ( pemphigus eruption pres5t$2 x is probable t _m ( ! cases ( contagi\s pemphigus belong to ?is class4 ,new lesions may appe> = sev]al days1 b f9ally1 9 ! c\rse ( a week or t5 days1 !y h all dri$ to ?91 waf]-l cru/s1 ( a /raw or light-yell[ color1 b slightly adh]5t1 & appe>+ z if /uck on2 ^! soon drop (f1 leav+ fa9t r$di% spots1 :i* gradually fade4 ,9 "s cases !re is s decid$ a t5d5cy to cle> & dry up c5trally :ile spread+ p]iph]ally t ! eruption has a r+-l aspect2 ?is seems especially s 9 ! be>d$ region ( ! male adult4 ,in/ead ( pres5t+ z describ$1 x may occur z "o or m pea- or f+]-nail-siz$1 r\nd$ & elevat$1 usually firm1 discrete pu/ules1 scatt]$ ov] "o "p1 or m commonly ov] v>i\s regions1 su* z ! face1 h&s1 feet & l[] extremities4 ,! pu/ules are su* f ! beg9n+1 & :5 develop$ are usually ( ! size ( a pea or f+]-nail1 elevat$1 semi-globul> or r\nd$1 ) some:at ?ick & t\gh walls1 & ( a :iti% or yell[i% color2 at fir/ !re may be a slight inflammatory areola1 b z ! lesion matures ?is almo/1 if n entirely1 disappe>s4 ,! pu/ules %[ no disposition to umbilication1 rupture or coalesc5ce2 dry+ 9 ! c\rse ( sev]al days or a week to yell[i% or br[ni% cru/s1 :i* soon drop (f1 leav+ no p]man5t trace4 ,?is v>iety 0 =m]ly ?\ght to be a di/9ct disease1 & 0 describ$ "u ! "n ( impetigo simplex4 ,z a rule !re are no con/itutional symptoms1 b 9 ! m sev]e cases ! eruption may be prec$$ by febrile di/urbance & malaise4 ,it*+ may or may n be pres5t4 ,/ate ! cause ( ! disease4 ,x is contagi\s1 ! cont5ts ( ! lesions be+ inoculable & auto-inoculable4 ,at times x seems to prevail 9 epidemic =m4 ,pyog5ic microorganisms are n[ reg>d$ z causative4 ,a relation%ip to vacc9ation has be5 alleg$ by "s obs]v]s4 ,x is m commonly obs]v$ 9 infants & "y *ildr54 ,f :at diseases is impetigo contagiosa to be diff]5tiat$8 ,f eczema1 pemphigus1 & ec?yma4 ,h[ does impetigo contagiosa diff] f ^! sev]al diseases8 ,by ! "* ( ! lesions1 _! gr[?1 _! sup]ficial nature1 _! c\rse1 ! abs5ce ( an inflammatory base & areola1 ! ?91 yell[i%1 waf]-l cru/s1 & usually a hi/ory ( contagion4 ,/ate ! prognosis4 ,! effect ( treatm5t is usually prompt4 ,! disease1 inde$1 t5ds to spontane\s disappe>ance 9 two to f\r weeks2 9 exceptional in/ances1 m especially 9 ^? cases 9 :i* it*+ is pres5t1 ! excoriations or scrat*-m>ks become inoculat$1 & 9 ?is way x may p]si/ sev]al weeks4 ,:at is ! treatm5t ( impetigo contagiosa8 ,treatm5t consi/s 9 ! de/ruction ( ! auto-inoculable prop]ties ( ! cont5ts ( ! lesions2 ?is is effect$ by remov+ ! cru/s by means ( w>m wat]-&-soap wa%+s1 & subsequ5tly rubb+ 9 an o9tm5t ( ammoniat$ m]cury1 t5 to tw5ty gra9s to ! ounce4 ,"s cases respond m rapidly to ! use ( a dry+ o9tm5t1 su* z ,lass>'s pa/e1 ) t5 to tw5ty gra9s ( :ite precipitate or sulphur to ! ounce4 ,9 it*+ cases1 a saturat$ solution ( boric acid1 or a c>bolic-acid lotion1 "o to two dra*ms to ! p9t1 is to be employ$ = g5]al application4 ,impetigo ,h]peti=mis4 ,describe impetigo h]peti=mis4 ,impetigo h]peti=mis is an extremely r>e disease1 obs]v$ usually 9 pregnant wom51 & is *>act]iz$ by ! appe>ance ( num]\s isolat$ & closely-cr[d$ p9-head-siz$ sup]ficial pu/ules1 :i* %[ a decid$ disposition to ! =mation ( circul> gr\ps or pat*es4 ,! c5tral portion ( ^! gr\ps dries to cru/s1 :ile new pu/ules appe> at ! p]iph]al portion4 ,!y t5d to coalesce1 & 9 ?is mann] a great] "p ( ! :ole surface may1 9 ! c\rse ( weeks or mon?s1 become involv$4 ,pr(\nd con/itutional di/urbance1 usually ( a septic "*1 prec$es & accompanies ! disease2 9 almo/ e in/ance a fatal t]m9ation soon] or lat] results4 ,x is possibly a grave type ( d]matitis h]peti=mis4 ,ec?yma4 ,give a descriptive def9ition ( ec?yma4 ,ec?yma is a disease *>act]iz$ by ! appe>ance ( "o1 sev]al or m discrete1 f+]-nail-siz$1 flat1 usually m>k$ly inflammatory pu/ules4 ,describe ! symptoms & c\rse ( ec?yma4 ,! lesions beg9 z small1 usually pea-siz$1 pu/ules2 increase some:at 9 area1 & :5 fully develop$ are dime-siz$1 or l>g]1 some:at flat1 ) a m>k$ly inflammatory base & areola4 ,at fir/ yell[i% !y soon become1 f ! admixture ( blood1 r$di%1 & dry to br[ni% cru/s1 b5ea? :i* w be f\nd sup]ficial excoriations4 ,! individual pu/ules are usually some:at acute 9 _! c\rse1 b new lesions may cont9ue to appe> f day to day or week to week4 ,z a rule1 n m ?an five to tw5ty are pres5t at "o "t1 & 9 mo/ cases !y are seat$ on ! legs4 ,m or less pigm5tation1 & sometimes sup]ficial sc>r+1 may rema9 to m>k ! site ( ! lesions4 ,it*+ is r>ely pres5t1 b !re may be m or less pa9 & t5d]ness4 ,:at is ! cause ( ec?yma8 ,x is ess5tially a disease ( ! poorly c>$-= & ill-f$2 ! direct excit+ cause is ! introduction ( pyog5ic microorganisms into ! follicul> op5+s4 ,x is closely alli$ to impetigo contagiosa1 & may 9 fact be reg>d$ z a m>k$ly inflammatory =m ( ! latt] affection4 ,x seems mu* less contagi\s1 h[ev]4 ,x is commonly obs]v$ 9 male adults4 ,f :at diseases is ec?yma to be diff]5tiat$8 ,f impetigo contagiosa1 & ! flat pu/ul> syphilod]m4 ,h[ is x di/+ui%$ f ^! sev]al diseases8 ,! size1 %ape1 inflammatory action1 & ! deprav$ g5]al condition1 ! di/ribution & less]-contagi\sness w di/+ui% x f impetigo contagiosa2 & ! abs5ce ( concomitant symptoms ( syphilis1 & ( positive ulc]ation1 z well z its di/ribution & m rapid & inflammatory c\rse1 w exclude ! pu/ul> syphilod]m4 ,/ate ! prognosis4 ,! disease is readily curable1 disappe>+ ^u ! removal ( ! pr$ispos+ cause & ! employm5t ( local antiseptic applications4 ,:at treatm5t is to be advis$8 ,good food1 prop] hygi5e & tonic rem$ies2 &1 locally1 removal ( ! cru/s & /imulation ( ! und]ly+ surface ) an o9tm5t ( ammoniat$ m]cury1 t5 to ?irty gra9s to ! ounce4 ,! foll[+ mild antiseptic lotion1 :i* mat]ially less5s ! t5d5cy to ! =mation ( new lesions1 may be appli$ to ! affect$ region two or ?ree times daily3-- ,rx ,acidi borici1 444444444444444444444444 dramiv ,resorc9i1 444444444444444444444444444 dramij ,glyc]9ae1 444444444444444444444444444 fdramij ,alcoholis1 444444444444444444444444444 f,ozj ,aquae1 44444444444 q4s4 ad 444444444444 ,oj4 ,m4 ,a weak lotion ( ?ymol1 corrosive sublimate or i*?yol w\ld d\btless be equally effectual4 ,pemphigus4 ,:at d y und]/& by pemphigus8 ,pemphigus is an acute or *ronic disease *>act]iz$ by ! successive =mation ( irregul>ly-scatt]$1 v>i\sly-siz$ blebs4 ,"n ! v>ieties met )4 ,two v>ieties are usually describ$--pemphigus vulg>is & pemphigus foliaceus4 ,describe ! symptoms & c\rse ( pemphigus vulg>is4 ,) or )\t precursory symptoms ( sy/emic di/urbance1 irregul>ly scatt]$ blebs1 few or 9 numb]s1 make _! appe>ance1 aris+ f ery!mat\s spots or f app>5tly normal sk94 ,!y v>y 9 size f a pea to a l>ge egg1 are r\nd$ or ovali%1 usually di/5d$1 & conta9 a yell[i% fluid :i*1 lat]1 becomes cl\dy or puri=m4 ,if ruptur$1 ! rete is expos$1 b ! sk9 soon rega9s its normal condition2 if undi/urb$1 ! fluid usually disappe>s by absorption4 ,ea* lesion runs its c\rse 9 sev]al days or a week4 ,a grave type ( pemphigus is exceptionally obs]v$ 9 ! newborn--pemphigus neonatorum4 ,:at c\rse does pemphigus vulg>is pursue8 ,usually *ronic4 ,! disease may subside 9 sev]al mon?s & ! process come to an end1 con/itut+ ! acute type4 ,z a rule1 h[ev]1 ! disease is *ronic1 new blebs cont9u+ to appe> f "t to "t = an indef9ite p]iod4 ,illu/ration3 ,fig4 #cj4 ,pemphigus 7mulatto74 ,9 :at respects does ! sev]e =m ( pemphigus vulg>is diff] f ! ord9>y type8 ,9 ! sev]e or malignant type ! eruption is m pr(use2 !re is m>k$1 & (t5 grave1 sy/emic depression1 & ! lesions are att5d$ ) ulc]ative action4 ,describe ! symptoms & c\rse ( pemphigus foliaceus4 ,9 ?is1 ! grave type ( ! disease1 ! blebs are loose & flaccid1 ) milky or puri=m cont5ts1 ruptur+ & dry+ to cru/s1 :i* are ca/ (f1 disclos+ ! r$d5$ corium4 ,new blebs appe> on ! sites ( disappe>+ or half-ruptur$ lesions1 & ! :ole surface may be ?us involv$ & ! disease cont9ue = ye>s1 compromis+ ! g5]al heal? & ev5tually end+ fatally4 ,9 "s cases ( pemphigus 7pemphigus vegetans7 a vegetat+ or papillomat\s condition develops f ! base ( ! lesion1 ) an (f5sive dis*>ge2 x is usually a grave type ( ! malady4 ,exceptionally cases 7d]matitis vegetans7 are met ) :i* h a close simil>ity 9 _! symptoms to pemphigus vegetans1 b 9 :i* ! eruption is m or less limit$ to ! g5itocrural region4 ,! disord] is n malignant & usually yields to cleanl9ess & antiseptics4 ,:at is ! "* ( ! subjective symptoms 9 pemphigus8 ,! subjective symptoms consi/ v>i\sly ( heat1 t5d]ness1 pa91 burn+ & it*+1 & may be slight or tr\blesome4 ,:at is kn[n 9 reg>d to ! etiology ( pemphigus8 ,! causes are obscure2 g5]al debility1 ov]work1 %ock1 n]v\s exhau/ion1 & septic conditions 7microorganisms7 are ?\ght to be ( influ5ce4 ,!re seems no d\bt t ^? :o h to d ) cattle products1 especially but*]s1 are subjects ( acute & usually grave pemphigus4 ,vacc9ation has exceptionally be5 responsible = ! disease1 probably ?r\gh "s co9cid5tal infection4 ,! disease is n contagi\s1 nor is x due to syphilis4 ,x may occur at any age4 ,x is a r>e disease1 especially 9 ?is c\ntry4 ,mo/ ( ! cases diagnos$ z pemphigus by ! inexp]i5c$ are examples ( bull\s urtic>ia1 bull\s ery!ma multi=me1 & impetigo contagiosa4 ,:at is ! pa?ology8 ,! lesions are sup]ficially seat$1 usually betwe5 ! horny lay] & upp] "p ( ! rete4 ,r\nd-cell infiltration & dilat$ blood vessels are f\nd ab\t ! papillae & 9 ! subcutane\s tissue4 ,! cont5ts ( ! blebs1 always ( alkal9e reaction1 are at fir/ s]\s1 lat] conta9+ blood corpuscles1 pus1 fatty-acid cry/als1 epi!lial cells1 & occasionally uric acid cry/als & free ammonia4 ,f :at diseases is pemphigus to be diff]5tiat$8 ,f h]pes iris1 ! bull\s syphilod]m1 impetigo contagiosa & d]matitis h]peti=mis4 ,h[ d ^! sev]al diseases diff] f pemphigus8 ,! acute c\rse1 small lesions1 conc5tric arrangem5t1 v>iegat$ colors1 & di/ribution1 9 h]pes iris2 ! ?ick1 bulky1 gre5i% cru/s1 ! und]ly+ ulc]ation1 ! c\rse1 hi/ory1 & ! pres5ce ( concomitant symptoms ( syphilis1 9 ! bull\s syphilod]m2 ! hi/ory1 c\rse1 di/ribution1 ! "* ( ! cru/+1 & ! contagi\s & auto-inoculable prop]ties ( ! cont5ts ( ! lesions1 9 impetigo contagiosa2 ! t5d5cy to appe> 9 gr\ps1 ! small] lesions1 ! int5se it*9ess1 c\rse1 multi=m *>act]s ( ! eruption & ! disposition to *ange ( type 9 d]matitis h]peti=mis1--w s]ve z diff]5tial po9ts4 ,/ate ! prognosis ( pemphigus4 ,its duration is unc]ta91 & ! issue may 9 sev]e cases be fatal4 ,9 ! mild] types1 aft] mon?s or sev]al ye>s1 recov]y may take place4 ,! ext5t & sev]ity ( ! disease & ! g5]al condition ( ! pati5t are always to be consid]$ be=e an op9ion is express$4 ,pemphigus neonatorum usually ends fatally4 ,give ! treatm5t ( pemphigus4 ,bo? con/itutional & local measures are dem&$4 ,good nutriti\s food & hygi5ic regulations are ess5tial4 ,ars5ic & qu9ia are ! mo/ valuable rem$ies4 ,! =m]1 9 occasional in/ances1 seems to h a specific influ5ce1 & %\ld always be tri$1 beg9n+ ) small doses & increas+ gradually to ! po9t ( tol]ance & cont9u$ = sev]al weeks or long]4 ,! rem$y %\ld n be set aside z long z !re are signs ( improvem5t1 unless ! sup]v5tion ( /oma*ic1 inte/9al or o!r di/urbance dem& its discont9uance4 ,o!r tonics1 su* z iron1 /ry*nia & cod-liv] oil1 are also at times ( s]vice4 ,! blebs %\ld be op5$ & ! p>ts ano9t$ or cov]$ ) a mild o9tm5t4 ,9 m g5]al cases bran1 />* & gelat9 ba?s1 & 9 sev]e cases ! cont9u\s ba?1 if practicable1 are to be us$4 ,,class ,,iii4--,,hemorrhages4 ,purpura4 ,def9e purpura4 ,purpura is a hemorrhagic affection *>act]iz$ by ! appe>ance ( v>i\sly-siz$1 usually non-elevat$1 smoo?1 r$di% or purpli% spots or pat*es1 n disappe>+ "u pressure4 ,"n ! sev]al v>ieties met )4 ,?ree--purpura simplex1 purpura rheumatica & purpura haemorrhagica2 d5ot+1 respectively1 ! mild1 mod]ate & sev]e grade ( ! disease4 ,! division is1 to a great ext5t1 an arbitr>y "o4 ,describe ! cl9ical appe>ance & c\rse ( an individual lesion ( purpura4 ,! spot1 :i* may be p9-head1 pea-1 bean-siz$ or l>g]1 appe>s sudd5ly1 & is ( a bright r$ or purpli% r$ color4 ,its brightness gradually fades1 ! color *ang+ to a blui%1 blui%-gre51 blui%- or gre5i%-yell[1 dirty yell[i%1 yell[i%-:ite1 & f9ally disappe>+2 v>y+ 9 duration f sev]al days to sev]al weeks4 ,describe ! symptoms ( purpura simplex4 ,purpura simplex1 or ! mild =m1 %[s itself z p9-po9t to pea- or bean-siz$1 bright or d>k-r$ spots1 limit$1 z a rule1 to ! limbs1 especially ! l[] extremities2 fad+ gradually away & com+ to an end 9 a few weeks1 or new crops appe>+ irregul>ly = sev]al mon?s4 ,!re is r>ely any sy/emic di/urbance1 &1 z a rule1 no subjective symptoms2 9 exceptional cases an urtic>ial elem5t is add$--purpura urticans4 ,describe ! symptoms ( purpura rheumatica4 ,purpura rheumatica 7also call$ peliosis rheumatica7 is usually prec$$ by symptoms ( malaise1 rheumatic pa9s & sometimes swell+ ab\t ! jo9ts2 ^! ph5om5a abate & frequ5tly disappe> ^u ! outbreak ( ! eruption4 ,! lesions are pea- to dime-siz$1 smoo?1 non-elevat$1 or slightly rais$1 & ( a r$di% or purpli% color2 ! eruption may be m or less g5]aliz$1 mo/ abundant ^u ! limbs1 or x may be limit$ to ^! p>ts4 ,x may end 9 a few weeks1 or may p]si/ = sev]al mon?s1 new spots appe>+ irregul>ly or 9 ! =m ( crops4 ,z some:at alli$ to ?is is ano!r =m 7,s*o5le9's disease71 q al>m+ 9 its symptoms4 ,x is r>e4 ,x is *>act]iz$ by symptoms p>tak+ ( ! nature ( rheumatism1 purpuric spots1 blot*es & ec*ymoses1 ery!ma multi=me1 & (t5 associat$ ) consid]able edema4 ,! ?roat is also usually invad$1 & inde$ ! fir/ symptom is commonly 9 ?is region4 ,consid]able con/itutional di/urbance1 ( a ?reat5+ "*1 is commonly obs]v$4 ,recov]y usually takes place4 ,h5o*'s purpura1 obs]v$ *iefly 9 *ildr51 resembles ! above1 ) ! ery!ma multi=me "* & ! oedemat\s swell+s m pron\nc$1 :ile ! actual purpuric symptoms are less conspicu\s4 ,ga/ric & inte/9al symptoms & hemorrhages f ! muc\s membrane are commonly not$4 ,x is fatal 9 ab\t #bj p] c5t4 ( ! cases4 ,describe ! symptoms ( purpura haemorrhagica4 ,purpura haemorrhagica 7also call$ l& scurvy7 is *>act]iz$ usually by premonitory1 & frequ5tly accompany+1 symptoms ( g5]al di/ress1 & by ! appe>ance ( co9 to palm-siz$1 r$ or purpli% hemorrhagic spots or pat*es1 smoo?1 non-elevat$ or rais$4 ,hemorrhage f ! m\?1 gums & o!r p>ts1 slight or s]i\s 9 "*1 may occur4 ,new lesions cont9ue to appe> = sev]al days or weeks2 & 9 exceptional in/ances1 repeat$ relapses take place1 & ! disease ?us p]si/s = mon?s4 ,x may end fatally4 ,/ate ! etiology ( purpura4 ,9 mo/ in/ances no cause c be assign$4 ,! disease occurs at all ages f *ildhood to advanc$ life1 & 9 individuals1 app>5tly1 9 good & bad heal? alike4 ,! hemorrhagic type is (t5] se5 9 subjects debilitat$ or 9 a deprav$ /ate ( heal?4 ,a microorganism is also look$ ^u z a factor by "s obs]v]s1 especially 9 ! grave type ( disease4 ,/ate ! diagno/ic *>act]s ( purpura4 ,! appe>ance1 irregul>ly or 9 crops1 ( bright-r$ or purpli% spots1 evid5tly ( hemorrhagic nature1 & n disappe>+ ^u pressure1 & z !y are fad+1 go+ ?r\gh ! sev]al *anges ( color usually obs]v$ 9 any ec*ymosis4 ,h[ does scurvy 7scorbutus7 diff] f purpura8 ,scurvy1 :i* may resemble ! sev]e grade ( purpura1 has a diff]5t hi/ory1 a recognizable cause1 usually a peculi> di/ribution1 & is accompani$ ) g5]al weakness & a spongy1 s(t & ble$+ condition ( ! gums4 ,:at is ! pa?ology ( purpura8 ,! lesion ( purpura consi/s ess5tially ( a hemorrhage into ! cutane\s tissues4 ,! blood is subsequ5tly absorb$1 ! haemat9 und]go+ *anges ( color f a r$ to gre5i% & pale yell[1 & f9ally fad+ away4 ,/ate ! prognosis ,! mild] v>ieties disappe> 9 ! c\rse ( sev]al weeks or mon?s1 & are r>ely ( s]i\s import2 ! outcome ( purpura haemorrhagica is some:at unc]ta92 al?\gh usually favorable1 a fatal result f int]nal hemorrhage is possible4 ,! v>iety kn[n z ,s*o5le9's disease is al>m+1 b seldom fatal4 ,h5o*'s disease is1 h[ev]1 always ( grave import4 ,:at is ! treatm5t ( purpura8 ,hygi5ic & diet>y measures1 ! adm9i/ration ( tonics & a/r+5ts1 &1 9 sev]e cases1 by relative or absolute re/4 ,! drugs commonly prescrib$ are3 ergot1 oil ( erig]on1 oil ( turp5t9e1 qu9ia1 /ry*nia1 iron1 m9]al acids1 & gallic acid4 ,ext]nal treatm5t is r>ely call$ =1 b if deem$ advisable1 a/r+5t lotions may be employ$4 ,scorbutus4 7,synonyms3 ,scurvy2 ,sea ,scurvy2 ,purpura ,scorbutica47 ,describe scorbutus4 ,scurvy is a peculi> con/itutional /ate1 develop$ 9 ^? liv+ "u bad hygi5ic conditions1 & is *>act]iz$ by emaciation1 g5]al febrile & a/h5ic symptoms1 a m or less swoll51 turgid & spongy & ev5 gangr5\s condition ( ! gums2 & concomitantly1 or soon] or lat]1 by ! appe>ance1 usually ^u ! l[] portion ( ! legs only1 ( d>k-color$ hemorrhagic pat*es or blot*es4 ,! sk9 ( ! affect$ "p may become brawny & slightly scaly1 & n infrequ5tly may break d[n & ulc]ate4 ,hemorrhages f ! v>i\s muc\s surfaces1 slight or grave1 may also take place4 ,/ate ! etiology ( scurvy4 ,x is due to long-cont9u$ deprivation ( prop] food1 especially ( fruits & vegetables4 ,o!r bad hygi5ic conditions favor its developm5t4 ,x is se5 mo/ commonly 9 sailors & o!rs tak+ long voyages4 ,h[ is scurvy to be di/+ui%$ f purpura8 ,by ! a/h5ic & emaciat$ g5]al condition & ! peculi> puffy1 spongy /ate ( ! gums4 ,! cutane\s manife/ation is m diffus$1 =m+ usually l>ge palm-siz$ pat*es1 &1 z a rule1 limit$ to ! region ( ! ankles or l[] "p ( ! legs4 ,give ! prognosis ( scurvy4 ,! disease is rem$iable1 & usually rapidly s4 ,9 ^? in/ances 9 :i* ! same bad hygi5ic conditions & ! +e/ion ( improp] food are cont9u$1 dea? f9ally results4 ,:at treatm5t w\ld y advise 9 scurvy8 ,prop] food1 ) an abundance ( fruit & vegetables4 ,lemon or lime juice is especially valuable1 & is to be tak5 freely4 ,if indicat$1 tonics & /imulants are also to be prescrib$4 ,= ! relief ( ! tumid1 spongy condition ( ! gums1 a/r+5t & antiseptic m\? wa%es are to be employ$4 ,! cutane\s manife/ations1 :5 t5d+ to ulc]ation1 are to be treat$ ^u g5]al pr9ciples4 ,,class ,,iv4--,,hyp]trophies4 ,l5tigo4 7,synonym3 ,freckle47 ,describe l5tigo4 ,l5tigo1 or freckle1 is *>act]iz$ by r\nd or irregul>1 p9-head to pea-siz$1 yell[i%1 br[ni% or blacki% spots1 occurr+ usually ab\t ! face & ! backs ( ! h&s4 ,x is a common affection1 v>y+ some:at 9 ! degree ( developm5t2 ! freckles pres5t may be few & insignificant1 or !y may exi/ 9 pr(usion & be q disfigur+4 ,heat & exposure favor _! developm5t4 ,^? ( light complexion1 especially ^? ) r$ hair1 are its mo/ common subjects4 ,! color ( ! lesion is usually a yell[i%-br[n4 ,x is common to all ages1 b is g5]ally se5 9 its greate/ developm5t dur+ adolesc5ce1 ! disposition to its appe>ance becom+ less m>k$ z age advances4 ,:at is ! pa?ology ( l5tigo8 ,l5tigo consi/s simply ( a circumscrib$ deposit ( pigm5t granules--m]ely a localiz$ increase ( ! normal pigm5t1 diff]+ f *loasma 7q4 v47 only 9 ! size & %ape ( ! pigm5tation4 ,/ate ! prognosis4 ,! blemi%es c be remov$ by treatm5t1 b _! return is almo/ c]ta94 ,"n ! sev]al applications commonly employ$ = _! removal4 ,an aque\s or alcoholic solution ( corrosive sublimate1 "o-half to ?ree gra9s to ! ounce2 lactic acid1 "o "p to f six to tw5ty p>ts ( wat]2 & an o9tm5t conta9+ a dra*m ea* ( bismu? subnitrate & ammoniat$ m]cury to ! ounce4 ,! applications1 :i* act by remov+ ! epid]mal & rete cells & ) !m ! pigm5t1 are made two or ?ree times daily1 & _! use int]mitt$ = a few days z soon z ! sk9 becomes irritat$ or scaly4 ,t\*+ ea* freckle = a few seconds ) ! electric ne$le1 j prick+ ! epid]mis1 w occasionally remove ! blemi%4 ,*loasma4 ,:at d y und]/& by *loasma8 ,*loasma consi/s ( an abnormal deposit ( pigm5t1 occurr+ z v>i\sly-siz$ & %ap$1 yell[i%1 br[ni% or blacki% pat*es4 ,describe ! cl9ical appe>ances ( *loasma4 ,*loasma appe>s ei!r 9 ill-def9$ pat*es1 z is commonly ! case1 or z a diffuse discoloration4 ,its appe>ance is rapid or gradual1 g5]ally ! latt]4 ,! pat*es are r\nd$ or irregul>1 & usually %ade (f into ! s\nd sk94 ,"o1 sev]al or m may be pres5t1 & coalesc5ce may take place1 result+ 9 a l>ge irregul> pigm5t$ area4 ,! color is yell[i%1 or br[ni%1 & may ev5 be blacki% 7melasma1 melanod]ma74 ,! sk9 is o!rwise normal4 ,! face is ! mo/ common site4 ,into :at two g5]al classes may ! v>i\s examples ( *loasma be gr\p$8 ,idiopa?ic & symptomatic4 ,:at cases ( *loasma are includ$ 9 ! idiopa?ic gr\p8 ,all ^? cases ( pigm5tation caus$ by ext]nal ag5ts1 su* z ! sun's rays1 s9apisms1 bli/]s1 cont9u$ cutane\s hyp]aemia f scrat*+ or any o!r cause1 etc4 ,:at cases ( *loasma are includ$ 9 ! symptomatic gr\p8 ,all =ms ( pigm5t deposit :i* occur z a consequ5ce ( v>i\s organic & sy/emic diseases1 z ! pigm5tation1 = in/ance1 se5 9 association ) tub]culosis1 canc]1 mal>ia1 ,addison's disease1 ut]9e affections1 & ! l4 ,9 su* cases1 ) few exceptions1 ! pigm5tation is usually m or less diffuse4 ,:at is *loasma ut]9um8 ,*loasma ut]9um is a t]m appli$ to ! ill-def9$ pat*es ( yell[i%-br[n pigm5tation appe>+ ^u ! faces ( wom51 usually betwe5 ! ages ( tw5ty-five & fifty4 ,x is mo/ commonly se5 dur+ pregnancy1 b may occur 9 connection ) any functional or organic disease ( ! ut]o-ov>ian app>atus4 ,:at is argyria8 ,argyria is ! t]m appli$ to ! slate-l discoloration :i* foll[s ! prolong$ adm9i/ration ( silv] nitrate4 ,/ate ! pa?ology ( *loasma4 ,! sole *ange consi/s 9 an increas$ deposit ( pigm5t4 ,give ! prognosis ( *loasma4 ,unless a removal ( ! excit+ or pr$ispos+ cause is possible1 ! prognosis is1 z a rule1 unfavorable1 & ! relief furni%$ by local applications usually b tempor>y4 ,if con/itutional treatm5t is advisable1 ^u :at is x to be bas$8 ,^u g5]al pr9ciples2 !re are no special rem$ies4 ,h[ d ext]nal rem$ies act8 ,ma9ly by remov+ ! rete cells & ) !m ! pigm5tation2 & p>tly1 also1 by /imulat+ ! absorb5ts4 ,are all ext]nal rem$ies :i* t5d to remove ! upp] lay]s ( ! sk9 equally useful = ?is purpose8 ,no2 on ! contr>y "s su* applications are foll[$ by an increase 9 ! pigm5t deposit4 ,"n ! sev]al applications commonly employ$4 ,corrosive sublimate 9 solution1 9 ! /r5g? ( "o to f\r gra9s to ! ounce ( alcohol & wat]2 a lotion made up z foll[s3-- ,rx ,hydr>gyri *lorid4 corros41 444444444 gr4 iij-viij ,ac4 acet4 dilut41 44444444444444444444 fdramij ,sodii borat41 444444444444444444444444 scrupleij ,aquae rosae1 444444444444444444444444444 f,oziv4 ,m4 ,& also ! foll[+3-- ,rx ,hydr>gyri *lorid4 corros41 444444444 gr4 iij-viij ,z9ci sulphat41 ,plumbi acetat41 444444 aa 444444 dramss ,aquae1 44444444444444444444444444444444 f,oziv4 ,m4 ,& lactic acid1 ) f five to tw5ty p>ts ( wat]2 & an o9tm5t conta9+ a dra*m ea* ( bismu? subnitrate & :ite precipitate to ! ounce4 ,hydrog5 p]oxide occasionally acts well4 ,tri*loracetic acid1 usually weak5$ ) "o or two p>ts wat]1 may be cauti\sly tri$4 ,! application ( a /rong alcoholic solution ( resorc91 tw5ty to fifty p] c5t4 /r5g?1 is also valuable1 z is also a two to t5 p] c5t4 alcoholic solution ( salicylic acid4 7,applications are made two or ?ree times daily1 & z soon z slight scal9ess or irritation is produc$ are to be discont9u$ = "o or two days47 ,tattoo-m>ks are difficult to remove4 ,excision is ! sure/ me?od4 ,electrolysis1 apply+ ! ne$le at v>i\s po9ts1 some:at close toge!r1 & us+ a fairly /rong curr5t--?ree to eight milliamp]es--w exceptionally1 especially :5 repeat$ sev]al times1 produce a reactive inflammation & ca/+-(f ( ! tissue conta9+ ! pigm5t2 a sc> is left4 ,sev]al writ]s claim good results ) glyc]ole ( papa91 prick+ x 9 9 ! same mann] z 9 tattoo+4 ,gun-p[d] m>ks4 ,if rec5t1 b a day or s aft] _! occurr5ce1 ! l>g] specks may be pick$ or scrap$ out4 ,lat]1 electrolysis1 us+ a fairly /rong curr5t1 may result 9 _! removal4 ,_! removal may also be satisfactorily effect$ ) a m9ute cutane\s treph9e4 ,k]atosis ,pil>is4 7,synonyms3 ,pityriasis ,pil>is2 ,li*5 ,pil>is47 ,:at is meant by k]atosis pil>is8 ,k]atosis pil>is may be def9$ z a hyp]trophic affection *>act]iz$ by ! =mation ( p9-head-siz$1 conical1 epid]mic elevations seat$ ab\t ! ap]tures ( ! hair follicles4 ,describe ! cl9ical appe>ances ( k]atosis pil>is4 ,! lesions are usually limit$ to ! ext5sor surfaces ( ! ?ighs & arms1 especially ! =m]4 ,!y appe> z p9-head-siz$1 :iti% or grayi% elevations1 consi/+ ( accumulations ( epi!lial matt] ab\t ! ap]tures ( ! hair follicles4 ,ea* elevation is pi]c$ by a hair1 or ! hair may be twi/$ & imprison$ )9 ! epi!lial mass2 or x may be brok5 (f j at ! po9t ( em]g5ce at ! apex ( ! papule1 9 :i* ev5t x may be se5 z a d>k1 c5tral speck4 ,! sk9 is usually dry1 r\gh & h>%1 & 9 m>k$ cases1 to ! h& pass+ ov] x1 feels n unlike a nutmeg-grat]4 ,! disease v>ies 9 its developm5t1 9 mo/ cases be+ s slight z to escape att5tion4 ,z a rule1 x is free f it*+4 ,:at c\rse does k]atosis pil>is pursue8 ,x is sluggi% & *ronic4 ,m5tion "s ( ! etiological factors4 ,x is n an uncommon disease1 & is se5 usually 9 ^? :o are unaccu/om$ to frequ5t ba?+1 be+ mo/ frequ5tly met ) dur+ ! w9t] mon?s4 ,x is *iefly obs]v$ dur+ e>ly adult life4 ,is !re any difficulty 9 ! diagnosis8 ,no4 ,x is ?\ght at times to be> "s resemblance to goose-fle% 7cutis ans]9a71 ! mili>y papul> syphilod]m 9 its desquamat+ /age1 & li*5 scr(ulosus4 ,9 goose-fle% ! elevations are evanesc5t & ( an entirely diff]5t "*2 ! papules ( ! syphilod]m are usually g5]aliz$1 ( a r$di% color1 t5d to gr\p1 are m solid & deeply-seat$1 less scaly & are accompani$ ) o!r symptoms ( syphilis2 9 li*5 scr(ulosus ! papules are l>g]1 incl9e to occur 9 gr\ps1 & appe> usually ^u ! abdom54 ,/ate ! prognosis4 ,! disease yields readily to treatm5t4 ,give ! treatm5t ( k]atosis pil>is4 ,frequ5t w>m ba?s1 ) ! use ( a toilet soap or sapo viridis1 w usually be f\nd curative4 ,alkal9e ba?s are also useful4 ,9 ob/9ate cases ! ord9>y mild o9tm5ts1 glyc]9e1 etc41 are to be advis$ 9 conjunction ) ! ba?s4 ,k]atosis ,follicul>is4 ,describe k]atosis follicul>is4 ,k]atosis follicul>is 7,d>i]'s disease1 i*?yosis follicul>is1 i*?yosis sebacea cornea1 psorosp]mosis7 is a r>e disease *>act]iz$ by p9-head to pea-siz$ po9t$1 r\nd$1 or irregul>ly-%ap$ grayi%1 br[ni%1 r$ or ev5 black1 horny papules or elevations1 aris+ f ! sebace\s or hair-follicles4 ,!y are1 = ! mo/ "p1 discrete1 ) a t5d5cy "h & !re to =m solid aggregations or areas4 ,_m ( !m conta9 project+ cornifi$ plugs :i* may be squeez$ out1 leav+ pit-l depressions4 ,! face1 scalp1 l[] trunk1 gro9s & flanks are ! p>ts *iefly affect$4 ,! view advanc$ by ,d>i]1 t ! malady 0 due to psorosp]ms1 is n[ d5i$1 ! bodies ?\ght to be su* hav+ be5 demon/rat$ to be due to cell trans=mation4 ,z to treatm5t1 9 "o in/ance ! induction ( a sub/itutive d]matic inflammation _h a favorable influ5ce4 ,molluscum ,epi!liale4 7,synonyms3 ,molluscum ,contagiosum2 ,molluscum ,sebaceum2 ,epi!lioma ,molluscum47 ,give a def9ition ( molluscum epi!liale4 ,molluscum epi!liale is *>act]iz$ by p9-head to pea-siz$1 r\nd$1 semi-globul>1 or flatt5$1 pe>l-l elevations1 ( a :iti% or p9ki% color4 ,describe ! symptoms & c\rse ( molluscum epi!liale4 ,! usual seat is ! face2 n infrequ5tly1 h[ev]1 ! gr[?s occur on o!r p>ts4 ,! lesions beg9 z p9-head1 waxy-look+1 r\nd$ or acum9at$ elevations1 gradually atta9+ ! size ( small peas4 ,!y h a broad base or occasionally may t5d to become p$unculat$4 ,!y r>ely exi/ 9 pr(usion1 9 mo/ cases ?ree to t5 or twelve lesions be+ pres5t4 ,:5 fully develop$ !y are some:at flatt5$ & umbilicat$1 ) a c5tral1 d>ki% po9t repres5t+ ! m\? ( ! follicle4 ,!y are :iti% or p9ki%1 & look n unlike drops ( wax or pe>l buttons4 ,at fir/ !y are firm1 b ev5tually1 9 mo/ cases1 t5d to become s(t & break d[n4 ,n infrequ5tly1 h[ev]1 ! lesions disappe> sl[ly by absorption1 )\t app>5t previ\s s(t5+4 ,_! c\rse is usually *ronic4 ,! cont5ts1 a *eesy-look+ mass1 may commonly be press$ out )\t difficulty4 ,:at is ! cause ( molluscum epi!liale8 ,x is n[ g5]ally accept$ t ! disease is mildly contagi\s4 ,x occurs *iefly 9 *ildr51 & especially among ! poor] classes4 ,! belief 9 ! p>asitic nature ( ! disease is ga9+ gr\nd2 rec5tly ! op9ion has be5 advanc$ t x is due to psorosp]ms 7psorosp]mosis72 b fur!r inve/igations h indicat$ t ^! bodies 7 deg5]at$ epi!lia4 ,/ate ! pa?ology4 ,illu/ration3 ,fig4 #ca4 ,molluscum ,epi!liale4 ,accord+ to rec5t inve/igations1 molluscum epi!liale is to be reg>d$ z a hyp]plasia ( ! rete1 ! gr[? probably beg9n+ 9 ! hair-follicles2 ! s-call$ molluscum bodies--peculi>1 r\nd$ or ovoidal1 %>ply-def9$1 fatty-look+ bodies f\nd 9 microscopical exam9ation ( ! gr[?--are to be view$ z a =m ( epi!lial deg5]ation4 ,:at are ! diagno/ic po9ts 9 molluscum epi!liale8 ,! size ( ! lesions1 _! waxy or gli/5+ appe>ance1 & ! pres5ce ( ! c5tral orifice4 ,x is to be diff]5tiat$ f molluscum fibrosum1 w>ts & acne4 ,/ate ! prognosis4 ,! gr[?s are am5able to treatm5t4 ,9 "s in/ances ! disease1 aft] exi/+ "s weeks1 t5ds to disappe> spontane\sly4 ,:at is ! treatm5t ( molluscum epi!liale8 ,incision & expression ( ! cont5ts1 & t\*+ ! base ( ! cavity ) silv] nitrate4 ,p$unculat$ gr[?s may be ligat$4 ,9 "s cases an o9tm5t ( ammoniat$ m]cury1 tw5ty to =ty gra9s to ! ounce1 appli$1 by g5tly rubb+1 once or twice daily1 w br+ ab\t a cure4 ,callositas4 7,synonyms3 ,tylosis2 ,tyloma2 ,callus2 ,call\s2 ,callosity2 ,k]atoma47 ,:at d y und]/& by callositas8 ,a h>d1 ?ick5$1 horny pat* made up ( ! corne\s lay]s ( ! epid]mis4 ,describe ! cl9ical appe>ances4 ,callosities are mo/ common ab\t ! h&s & feet1 & consi/ ( small or l>ge pat*es ( dry1 grayi%-yell[ look+1 h>d1 slight or excessive epid]mic accumulations4 ,!y are some:at elevat$1 especially at ! c5tral portion1 & gradually m]ge into ! heal?y sk94 ,! natural surface l9es are 9 a great measure oblit]at$1 ! pat*es usually be+ smoo? & horn-l4 ,k]atosis palm>is et plant>is 7symmetric k]atod]mia71 z reg>ds ! local condition1 is a some:at simil> affection4 ,x consi/s ( hyp]trophy ( ! corne\s lay] ( ! palm & soles1 usually ( a m or less horny & plate-l "*1 b is cong5ital or h]$it>y1 & n necess>ily dep5d5t ^u local friction or pressure4 ,are !re any inflammatory symptoms 9 callositas8 ,no2 b exceptionally1 f accid5tal injury1 ! subjac5t corium becomes inflam$1 suppurates1 & ! ?ick5$ mass is ca/ (f4 ,/ate ! causes ( callositas4 ,pressure & friction2 = example1 on ! h&s1 f ! use ( v>i\s tools & implem5ts1 & on ! feet f ill-fitt+ %oes4 ,x is1 inde$1 (t5 to be look$ ^u z an ef=t ( nature to protect ! m delicate corium4 ,9 exceptional in/ances x arises )\t app>5t cause4 ,:at is ! pa?ology8 ,! epid]mis alone is involv$2 x consi/s1 9 fact1 ( a hyp]plasia ( ! horny lay]4 ,/ate ! prognosis ( callositas4 ,if ! causes are remov$1 ! accumulation1 z a rule1 gradually disappe>s4 ,! effect ( treatm5t is always rapid & positive1 b unless ! etiological factors h ceas$ to act1 ! result is usually b tempor>y4 ,h[ is callositas treat$8 ,:5 treatm5t is deem$ advisable1 x consi/s 9 s(t5+ ! p>ts ) hot-wat] soak+s or p\ltices1 & subsequ5tly %av+ or scrap+ (f ! call\s mass4 ,! same result may also be (t5 effect$ by ! cont9u\s application1 = sev]al days or a week1 ( a #aj to #ae p] c5t4 salicylat$ pla/]1 or ! application ( a salicylat$ collodion1 same /r5g?2 x is foll[$ up by hot-wat] soak+1 ! accumulation1 z a rule1 com+ readily away4 ,clavus4 7,synonym3 ,corn47 ,:at is clavus8 ,clavus1 or corn1 is a small1 circumscrib$1 flatt5$1 deep-seat$1 horny =mation usually seat$ ab\t ! toes4 ,describe ! cl9ical appe>ances4 ,ord9>ily a corn has ! appe>ance ( a small callosity2 ! sk9 is ?ick5$1 poli%$ & horny4 ,exceptionally1 h[ev]1 occurr+ on p>ts t are naturally m or less moi/1 z betwe5 ! toes1 mac]ation takes place1 & ! result is ! s-call$ s(t corn4 ,! dorsal aspect ( ! toes is ! common site = ! ord9>y v>iety4 ,! usual size is t ( a small pea4 ,!y are pa9ful on pressure1 &1 at times1 spontane\sly s4 ,/ate ! causes4 ,corns are caus$ by pressure & friction1 & may usually be ref]r$ to improp]ly fitt+ %oes4 ,:at is ! pa?ology ( clavus8 ,x is a hyp]trophy ( ! epid]m4 ,its %ape is conical1 ) ! base ext]nal & ! apex press+ ^u ! papillae4 ,x is1 9 fact1 a peculi>ly-%ap$ callosity1 ! c5tral portion & apex be+ d5se & horny1 =m+ ! s-call$ core4 ,give ! treatm5t ( clavus4 ,a simple me?od ( treatm5t consi/s 9 %av+ (f1 aft] a prelim9>y hot-wat] soak+1 ! out] portion1 & !n apply+ a r+ ( felt or l mat]ial1 ) ! holl[ "p imm$iately ov] ! site ( ! core2 ?is %\ld be worn = sev]al weeks4 ,x is also possible 9 "s cases to extract ! :ole corn by g5tly dissect+ x out2 ! aft]-treatm5t be+ ! same z ! above4 ,ano!r me?od is by means ( a t5- to fifte5-p]-c5t4 solution ( salicylic acid1 9 alcohol or collodion1 or ! foll[+3-- ,rx ,ac4 salicylici1 4444444444444444444444 gr4 xxx ,ext4 cannabis ,ind41 444444444444444444 gr4 x ,collodii1 4444444444444444444444444444 fdramiv4 ,m4 ,?is is pa9t$ on ! corn night & morn+ = sev]al days1 at ! end ( :i* "t ! p>ts are soak$ 9 hot wat]1 & ! mass or a great] "p ( x1 w be f\nd1 z a rule1 to come readily away2 "o or two repetitions may be necess>y4 ,lactic acid1 ) "o to sev]al p>ts ( wat]1 appli$ once or twice daily1 acts 9 a simil> mann]4 ,s(t corns1 aft] ! removal ( pressure1 may be treat$ ) ! solid /ick ( nitrate ( silv]1 or by any ( ! me?ods already m5tion$4 ,9 ord] t treatm5t be p]man5tly successful1 ! feet are to be prop]ly fitt$4 ,if pressure is remov$1 corns w commonly disappe> spontane\sly4 ,cornu ,cutaneum4 7,synonyms3 ,cornu ,humanum2 ,cutane\s ,horn47 ,:at is cornu cutaneum8 ,a cutane\s horn is a circumscrib$ hyp]trophy ( ! epid]mis1 =m+ an outgr[? ( horny consi/5ce & ( v>iable size & %ape4 ,at :at age & ^u :at p>ts are cutane\s horns obs]v$8 ,!y are usually met ) late 9 life1 & are mo/ly seat$ ^u ! face & scalp4 ,illu/ration3 ,fig4 #cb4 ,cutane\s ,horns4 ,%[+ beg9n+ epi!liomat\s deg5]ation ( ! base4 7,aft] ,pancoa/47 ,describe ! cl9ical appe>ances4 ,9 appe>ance cutane\s horns resemble ^? se5 9 ! l[] animals1 diff]+1 if at all1 b slightly4 ,!y are h>d1 solid1 dry & some:at brittle2 usually tap]+1 & may be ei!r /raight1 curv$ or crook$4 ,_! surface is r\gh1 irregul>1 lam9at$ or fissur$1 ! ends po9t$1 blunt or clubb$4 ,! color v>ies2 x is usually grayi%-yell[1 b may be ev5 blacki%4 ,z commonly se5 !y are small 9 size1 a fraction ( an in* or an in* or !reab\ts 9 l5g?1 b exceptionally atta9 consid]able proportions4 ,! base1 :i* re/s directly ^u ! sk91 may be broad1 flatt5$1 or concave1 ) ! und]ly+ & adjac5t tissues normal or ! papillae hyp]trophi$2 & 9 "s cases !re is m or less inflammation1 :i* may be foll[$ by suppuration4 ,!y are usually solit>y =mations4 ,!y are n1 z a rule1 pa9ful1 unless knock$ or irritat$4 ,:at c\rse d cutane\s horns pursue8 ,_! gr[? is usually sl[1 &1 aft] hav+ atta9$ a c]ta9 size1 !y n infrequ5tly become loose & fall (f2 !y are almo/ always reproduc$4 ,:at is ! cause ( ^! horny gr[?s8 ,! cause is n kn[n2 appe>+ ab\t ! g5italia1 !y usually develop f acum9at$ w>ts4 ,!y are r>e =mations4 ,/ate ! pa?ology ( cornu cutaneum4 ,horns consi/ ( closely agglut9at$ epid]mic cells1 =m+ small columns or rods2 9 ! columns !mselves ! cells are arrang$ conc5trically4 ,9 ! base are f\nd hyp]trophic papillae & "s bloodvessels4 ,!y h _! />t+-po9t 9 ! rete mucosum1 ei!r f t ly+ above ! papillae or t l9+ ! follicles & gl&s4 ,does epi!liomat\s deg5]ation ( ! base ev] occur8 ,yes4 ,/ate ! prognosis4 ,cutane\s horns may be readily & p]man5tly remov$4 ,:at is ! treatm5t8 ,treatm5t consi/s 9 deta*m5t1 & subsequ5t de/ruction ( ! base2 ! =m] is accompli%$ by dissect+ ! horn away f ! base or =cibly break+ x (f1 ! latt] by means ( any ( ! well-kn[n cau/ics1 su* z cau/ic pota%1 *loride ( z9c & ! galvano-caut]y4 ,ano!r me?od is to excise ! base1 ! horn com+ away ) x2 ?is necessitates1 h[ev]1 consid]able loss ( tissue4 ,v]ruca4 7,synonym3 ,w>t47 ,:at is v]ruca8 ,v]ruca1 or w>t1 is a h>d or s(t1 r\nd$1 flat1 acum9at$ or fili=m1 circumscrib$ epid]mal & papill>y gr[?4 ,"n ! sev]al v>ieties ( w>ts met )4 ,v]ruca vulg>is1 v]ruca plana1 v]ruca plana juv5ilis1 v]ruca digitata1 v]ruca fili=tnis & v]ruca acum9ata4 ,describe v]ruca vulg>is4 ,?is is ! common w>t1 occurr+ mo/ly ^u ! h&s4 ,x is r\nd$1 elevat$1 circumscrib$1 h>d & horny1 ) a broad base1 & usually ! size ( a pea4 ,at fir/ x is smoo? & cov]$ ) slightly ?ick5$ epid]mis1 b lat] ?is disappe>s to "s ext5t1 ! hyp]trophi$ papillae1 appe>+ z m9ute elevations1 mak+ up ! gr[?4 ,"o1 sev]al or m may be pres5t4 ,describe v]ruca plana4 ,?is is ! s-call$ flat w>t1 & occurs commonly ^u ! back1 especially 9 eld]ly p 7v]ruca s5ilis1 k]atosis pigm5tosa74 ,x is1 z a rule1 b slightly elevat$1 is usually d>k 9 color1 & ( ! size ( a pea or f+]-nail4 ,describe v]ruca plana juv5ilis4 ,! w>ts are mo/ly p9-head 9 size1 flat1 b slightly elevat$1 r\nd$1 irregul> or squ>e-%ap$1 & ( a light yell[i%-br[n color4 ,!y be> resemblance to li*5 planus papules4 ,!y are apt to be num]\s1 (t5 becom+ aggregat$ or fus$1 & occur usually 9 "y *ildr51 &1 z a rule1 on ! face & h&s4 ,describe v]ruca fili=mis4 ,?is is a ?read-l gr[? ab\t an eigh? or f\r? ( an in* long1 & occurr+ commonly ab\t ! face1 eyelids & neck4 ,x is usually s(t to ! t\* & flexible4 ,describe v]ruca digitata4 ,?is is a v>iety ( w>t1 :i*1 especially ab\t ! edges1 is m>k$ by digitations1 ext5d+ ne>ly or q d[n to ! base4 ,x is commonly se5 ^u ! scalp4 ,describe v]ruca acum9ata4 ,?is v>iety 7v5]eal w>t1 po9t$ w>t1 po9t$ condyloma71 usually occurs ab\t ! g5italia1 especially ^u ! muc\s & muco-cutane\s surfaces4 ,x consi/s ( "o or m gr\ps ( acum9at$1 p9ki% or r$di%1 raspb]ry-l elevations1 &1 accord+ to ! region1 may be dry or moi/2 if ! latt]1 ! secretion1 :i* is usually yell[i% & puri=m1 f rapid decomposition1 develops an (f5sive & p5etrat+ odor4 ,! =mation may be ! size ( a small pea1 or may atta9 ! dim5sions ( a fi/4 ,:at is ! cause ( w>ts8 ,! etiology is n kn[n4 ,!y are m common 9 adolesc5t & e>ly adult life4 ,irritat+ secretions are ?\ght to be causative 9 ! acum9at$ v>iety4 ,x is highly probable t a p>asitic factor w f9ally be demon/rat$4 ,!y are d\btless mildly contagi\s4 ,illu/ration3 ,fig4 #cc4 ,v]ruca ,acum9ata--ab\t ! anus4 7,aft] ,a%ton47 ,/ate ! pa?ology ( w>ts4 ,a w>t consi/s ( bo? epid]mic & papill>y hyp]trophy1 ! int]ior ( ! gr[? conta9+ a vascul> loop4 ,9 ! acum9at$ v>iety !re are m>k$ papill>y enl>gem5t1 excessive developm5t ( ! muc\s lay]1 & an abundant vascul> supply4 ,give ! treatm5t ( w>ts4 ,= ord9>y w>ts1 excision or de/ruction by cau/ics4 ,! repeat$ application ( a saturat$ alcoholic solution ( salicylic acid is (t5 curative1 ! upp] portion be+ p>$ (f f "t to "t4 ,! fili=m & digitate v>ieties may be snipp$ (f ) ! scissors1 & ! base t\*$ ) nitrate ( silv]2 or a ligature may be us$4 ,curett+ is a valuable op]ative me?od4 ,! gr[?s may also be remov$ by electrolysis4 ,:5 w>ts are num]\s & close toge!r p>asiticide applications c be daily made to ! :ole affect$ region4 ,= ?is purpose a boric acid solution1 conta9+ five to ?irty gra9s ( resorc9 to ! ounce1 & ,vlem9ckx's solution1 at fir/ dilut$1 prove ! mo/ valuable4 ,v]ruca acum9ata is to be treat$ by ma9ta9+ absolute cleanl9ess1 & ! application ( su* a/r+5ts z liquor plumbi subacetatis1 t9cture ( iron1 p[d]$ alum & boric acid4 ,! salicylic acid solution may also be us$4 ,9 ob/9ate cases1 glacial acetic acid or *romic acid may be cauti\sly employ$4 ,naevus ,pigm5tosus4 7,synonym3 ,mole47 ,describe naevus pigm5tosus4 ,naevus pigm5tosus1 commonly kn[n z mole1 may be def9$ z a circumscrib$ increase 9 ! pigm5t ( ! sk91 usually associat$ ) hyp]trophy ( "o or all ( ! cutane\s /ructures1 especially ( ! connective tissue & hair4 ,x occurs s+ly or 9 numb]s2 is usually pea-1 bean-siz$ or l>g]1 r\nd$ or irregul>1 smoo? or r\gh1 flat or elevat$1 & ( a color v>y+ f a light br[n to black2 ! hair f\nd !reon may be ei!r colorless or deeply pigm5t$1 co>se & ( consid]able l5g?4 ,x is1 z a rule1 a p]man5t =mation4 ,"n ! sev]al v>ieties ( naevus pigm5tosus met )4 ,naevus spilus1 naevus pilosus1 naevus v]rucosus1 & naevus lipomatodes4 ,s-call$ l9e> naevus might also be consid]$ z belong+ 9 ?is gr\p4 ,:at is naevus spilus8 ,a smoo? & flat naevus1 consi/+ ess5tially ( augm5t$ pigm5tation alone4 ,illu/ration3 ,fig4 #cd4 ,l9e> ,naevus4 ,:at is naevus pilosus8 ,a naevus ^u :i* !re is an abnormal gr[? ( hair1 slight or excessive4 ,:at is naevus v]rucosus8 ,a naevus to :i* is add$ hyp]trophy ( ! papillae1 giv+ rise to a furr[$ & unev5 surface4 ,:at is l9e> naevus8 ,l9e> naevus is a =mation usually ( a v]ruc\s "*1 m or less pigm5t$1 sometimes slightly scaly1 occurr+ 9 b&-l or zo/]-l areas1 &1 z a rule1 unilat]ally4 ,:at is naevus lipomatodes8 ,a naevus ) excessive fat & connective-tissue hyp]trophy4 ,/ate ! etiology ( naevus pigm5tosus4 ,! causes are obscure4 ,! gr[?s are usually cong5ital2 b ! smoo?1 non-hairy moles may be acquir$4 ,give ! pa?ology ( naevus pigm5tosus4 ,microscopical exam9ation %[s a m>k$ increase 9 ! pigm5t 9 ! l[e/ lay]s ( ! rete mucosum1 z well z m or less pigm5tation 9 ! corium usually foll[+ ! c\rse ( ! bloodvessels2 9 ! v]ruc\s v>iety ! papillae are greatly hyp]trophi$1 9 addition to ! increas$ pigm5tation4 ,!re is1 z a rule1 m or less connective-tissue hyp]trophy4 ,:at is ! treatm5t ( naevus pigm5tosus8 ,9 _m in/ances int]f]5ce is sc>cely call$ =1 b :5 dem&$ consi/s 9 ! removal ( ! =mation ei!r by ! knife1 by cau/ics1 or by electrolysis4 ,?is la/ is1 9 ! mild] v>ieties at lea/1 p]haps ! be/ me?od1 z x is less likely to be foll[$ by disfigur+ cicatrices4 ,9 naevus pilosus ! removal ( ! hairs alone by electrolysis is n infrequ5tly foll[$ by a decid$ dim9ution ( ! pigm5tation4 ,9 rec5t ye>s bo? liquid air & c>bon dioxide h also be5 us$ successfully 9 ! removal ( ^! gr[?s4 ,pigm5t$ naevi1 :i* %[ ! lea/ t5d5cy to gr[? or deg5]ative *ange1 %\ld be radically remov$1 z !y n infrequ5tly lead to c>c9omat\s & s>comat\s gr[?s4 ,i*?yosis4 7,synonym3 ,fi%-sk9 ,disease47 ,give a descriptive def9ition ( i*?yosis4 ,i*?yosis is a *ronic1 hyp]trophic disease1 *>act]iz$ by dryness & scal9ess ( ! sk91 ) a v>iable am\nt ( papill>y gr[?4 ,at :at age is i*?yosis fir/ obs]v$8 ,x is fir/ notic$ 9 infancy or e>ly *ildhood4 ,9 r>e in/ances x is cong5ital 7i*?yosis cong5ita71 & 9 su* cases x is usually sev]e1 & ( a grave type2 ! *ildr5 are1 z a rule1 prematurely born1 & frequ5tly d n survive _m days or weeks4 ,:at ext5t ( surface is involv$8 ,usually ! :ole surface1 b x is mo/ m>k$ ^u ! ext5sor surfaces ( ! arms & legs1 especially at ! elb[s & knees2 ! face & scalp1 9 mild cases1 (t5 rema9 free4 ,"n ! two v>ieties ( i*?yosis usually describ$4 ,i*?yosis simplex & i*?yosis hy/rix1 t]ms commonly employ$ to designate ! mild & sev]e =ms respectively4 ,describe ! cl9ical appe>ances ( i*?yosis4 ,! mild] =ms ( ! disease may be s slight z to give rise to simple dryness or h>%ness ( ! sk9 7x]od]ma72 b z commonly met ) x is m develop$1 m or less m>k$ scal9ess 9 ! =m ( ?9 or some:at ?ick epid]mal plates be+ pres5t4 ,! papillae ( ! sk9 are (t5 slightly hyp]trophi$4 ,9 slight cases ! color ( ! scales is usually light & pe>ly2 9 ! m m>k$ examples x is d>k gray1 olive gre5 or black4 ,9 ! sev]e v>iety--i*?yosis hy/rix--9 addition to scal9ess !re is m>k$ papill>y hyp]trophy1 =m+ w>ty or sp9\s pat*es4 ,?is type is r>e1 &1 z a rule1 ! surface involv$ is m or less limit$4 ,are !re any inflammatory symptoms 9 i*?yosis8 ,no4 ,9 fact1 beyond ! disfigurem5t1 ! disease causes no inconv5i5ce2 9 ^? well-m>k$ cases1 h[ev]1 9 :i* ! scales are ?ick & m or less immovable1 ! natural mobility ( ! p>ts is compromis$ & fissur+ (t5 occurs4 ,9 ! w9t] mon?s1 9 ! sev]] cases1 expos$ p>ts may become slightly eczemat\s4 ,does i*?yosis v>y some:at ) ! season8 ,yes4 ,9 all cases ! disease is bett] 9 ! w>m mon?s1 & 9 ! mild =ms may entirely disappe> dur+ ?is "t4 ,?is favorable *ange is purely me*anical--due to ! mac]ation to :i* ! increas$ activity ( ! sweat gl&s gives rise4 ,is ! g5]al heal? affect$ 9 i*?yosis8 ,no4 ,:at c\rse does i*?yosis pursue8 ,*ronic4 ,beg9n+ 9 e>ly infancy or *ildhood1 x usually becomes gradually m m>k$ until adult age1 aft] :i* "t x1 z a rule1 rema9s /ation>y4 ,:at is ! etiology8 ,beyond a h]$it>y influ5ce1 :i* is (t5 a positive factor1 ! causes are obscure4 ,x is n a common disease4 ,/ate ! pa?ology4 ,anatomically ! ess5tial feature is epid]mic hyp]trophy1 ) usually a v>y+ degree ( papill>y hyp]trophy also4 ,m5tion ! diagno/ic features ( i*?yosis4 ,! h>%1 dry sk91 epid]mic & papill>y hyp]trophy1 ! furfurace\s or plate-l scal9ess1 ! great] developm5t ^u ! ext5sor surfaces1 a hi/ory ( ! affection dat+ f e>ly *ildhood1 & ! abs5ce ( inflammatory symptoms4 ,h[ is i*?yosis to be di/+ui%$ f eczema1 psoriasis1 & o!r scaly inflammatory diseases8 ,by ! abs5ce ( ! inflammatory elem5t4 ,:at is ! outlook = a case ( i*?yosis8 ,! prognosis is unfavorable z reg>ds a cure1 b ! process may usually be kept 9 abeyance or r5d]$ endurable by prop] measures4 ,:at treatm5t w\ld y prescribe = i*?yosis8 ,treatm5t t has 9 view removal ( ! scal9ess & ! ma9t5ance ( a s(t & flexible condition ( ! sk94 ,9 mild cases frequ5t w>m ba?s1 simple or alkal9e1 w suffice2 9 o!rs an application ( an oily or fatty sub/ance1 su* z ! ord9>y oils or o9tm5ts1 made sev]al h\rs or imm$iately be=e ! ba? may be necess>y4 ,9 mod]ately develop$ cases ! sk9 is to be wa%$ en]getically ) sapo viridis & hot wat]1 foll[$ by a w>m ba?1 aft] :i* an oily or fatty application is made4 ,9 "s ( ! m sev]e cases ! foll[+ plan is (t5 useful3 ,! p>ts are fir/ rubb$ ) a soapy o9tm5t consi/+ ( "o "p ( precipitat$ sulphur & sev5 p>ts ( sapo viridis2 a ba? is !n tak51 ! sk9 wip$ dry1 & a "o to five p] c5t4 o9tm5t ( salicylic acid g5tly rubb$ 94 ,glyc]9e lotions1 "o or two dra*ms to ! ounce ( wat]1 are also b5eficial2 z also ! foll[+3-- ,rx ,ac4 salicylici1 4444444444444444444444 gr4 x-xl ,glyc]9i1 444444444444444444444444444 dramss-dramj ,lanol91 ,petrolati1 444444444444444444 aa ,ozss ,9 sev]e cases ( i*?yosis hy/rix x may be necess>y1 also1 to employ cau/ics or ! knife4 ,:at sy/emic treatm5t w\ld y prescribe8 ,con/itutional rem$ies are practically p[]less2 occasionally "s good is accompli%$ by ! int]nal adm9i/ration ( l9se$ oil & jabor&i4 ,ony*auxis4 7,synonym3 ,hyp]trophy ( ! ,nail47 ,describe ony*auxis4 ,ony*auxis1 or hyp]trophy ( ! nail1 may take place 9 "o or all directions1 & ?is increase may be1 & (t5 is1 accompani$ by *anges 9 %ape1 color1 & direction ( gr[?4 ,"o or all ! nails may %>e 9 ! process4 ,z ! result ( lat]al deviation ( gr[?1 ! nail presses ^u ! surr\nd+ tissues1 produc+ a v>y+ degree ( inflammation--p>ony*ia4 ,:at is ! etiology ( hyp]trophy ( ! nail8 ,! condition may be ei!r cong5ital or acquir$4 ,9 ! latt] in/ances x is usually ! result ( ! ext5sion to ! matrix ( su* cutane\s diseases z psoriasis & eczema2 or x is produc$ by con/itutional maladies1 su* z syphilis4 ,give ! treatm5t ( hyp]trophy ( ! nail4 ,treatm5t consi/s 9 ! removal ( ! r$undant nail-tissue by means ( ! knife or scissors2 &1 :5 dep5d5t ^u eczema or psoriasis1 ! employm5t ( rem$ies suitable = ^! diseases4 ,:5 x is ! result ( syphilis1 ! m$ication appropriate to ?is disease is to be employ$4 ,9 p>ony*ia ! nail %\ld be frequ5tly trimm$ & a pl$get ( l9t or cotton be int]pos$ betwe5 ! edge ( ! nail & ! adjac5t s(t p>ts2 a/r+5t p[d]s & lotions may (t5 be employ$ ) advantage2 & 9 sev]e & p]si/5t cases excision ( ! nail1 p>tial or complete1 may be f\nd necess>y4 ,hyp]tri*osis4 7,synonyms3 ,hirsuties2 ,hyp]trophy ( ! ,hair2 ,sup]flu\s ,hair47 ,:at is meant by hyp]tri*osis8 ,hyp]tri*osis is a t]m appli$ to excessive gr[? ( hair1 ei!r z reg>ds region1 ext5t1 age or sex4 ,describe ! sev]al conditions met )4 ,! unnatural hair gr[? may be slight1 z1 = in/ance1 ^u a naevus 7naevus pilosus72 or x may be excessive1 z 9 ! s-call$ hairy p 7hom9es pilosi72 or x may also appe> on ! face1 arms & o!r p>ts 9 females1 result+ f a hyp]trophy ( ! natural lanugo hairs4 ,/ate ! causes ( hyp]tri*osis4 ,h]$it>y influ5ce is (t5 a factor2 ! condition may also be cong5ital4 ,if acquir$1 ! t5d5cy manife/s itself usually t[>d middle life4 ,9 wom51 x is n infrequ5tly associat$ ) diseases ( ! ut]o-ov>ian sy/em2 9 _m in/ances1 h[ev]1 !re is no app>5t cause4 ,local irritation or /imulation has at times a causative influ5ce4 ,h[ is hyp]tri*osis to be treat$8 ,= g5]al hyp]tri*osis !re is no rem$y4 ,small hairy naevi may be excis$1 or1 z also 9 ! l>g] hairy moles1 ! hairs may be remov$ by electrolysis4 ,on ! faces ( wom51 if ! hairs are co>se or l>ge1 electrolysis con/itutes ! only satisfactory me?od2 if ! hairs are small & lanugo-l1 ! op]ation is n to be advis$4 ,x is some:at pa9ful1 b nev] unbe>able4 ,9 ! pa/ sev]al ye>s ! x-ray has be5 advocat$ by sev]al writ]s1 b x requires usually num]\s exposures pu%$ to ! po9t ( produc+ ery!ma2 x is n )\t risk1 & ! hairs are said to return 9 "s mon?s4 ,:at tempor>y me?ods are usually resort$ to = ! removal ( sup]flu\s hair8 ,%av+1 extraction ( ! hairs & ! use ( depilatories4 ,z a depilatory1 a p[d] made up ( two dra*ms ( b>ium sulphide & ?ree dra*ms ea* ( z9c oxide & />*1 is commonly 7& cauti\sly7 employ$2 at ! "t ( application en\gh wat] is add$ to ! p[d] to make a pa/e1 & x is !n spread ?9ly ^u ! p>ts1 all[$ to rema9 five to fifte5 m9utes1 or until heat ( sk9 or a burn+ s5sation is felt1 wa%$ (f ?or\ghly1 & a soo?+ o9tm5t appli$4 ,?is prep>ation mu/ be well prep>$ to be effici5t4 ,describe ! me?od ( removal ( sup]flu\s hair by electrolysis4 ,a f9e ne$le 9 a suitable h&le is atta*$ to ! negative pole ( a galvanic batt]y1 introduc$ into ! hair-follicle to ! dep? ( ! papilla1 & ! circuit complet$ by ! pati5t t\*+ ! positive electrode2 9 sev]al seconds slight blan*+ & fro?+ usually appe> at ! po9t ( ins]tion2 a few seconds lat] ! curr5t is brok5 by release ( ! positive electrode1 & ! ne$le is !n )drawn4 ,sometimes a :eal-l elevation arises1 rema9s sev]al m9utes or h\rs1 & !n disappe>s2 or occasionally1 probably f second>y infection1 x develops into a pu/ule4 ,a /r5g? ( curr5t ( a half to two milliamp]es is usually suffici5t2 ! "t necess>y = ! de/ruction ( ! papilla v>y+ f sev]al to ?irty seconds4 ,h[ are y to "k if ! papilla has be5 de/roy$8 ,! hair w readily come out ) b little1 if any1 traction4 ,:at is ! result if ! curr5t has be5 too /rong or too long cont9u$8 ,! follicle suppurates & a sc> results4 ,:y %\ld contigu\s hairs n be op]at$ ^u at ! same sitt+8 ,9 ord] t ! *ances ( m>k$ inflammatory action & sc>r+ 7always possibilities7 may be r$uc$ to a m9imum4 ,9 case ( failure to de/roy an individual papilla1 %\ld a second attempt be made at ! same sitt+8 ,z a rule n1 9 ord] to avoid ! possibility ( too mu* de/ructive action1 & consequ5t sc>r+4 ,c sc>r+ always be prev5t$8 ,9 ! av]age case1 ) skill & c>e1 ! use ( an exce$+ly f9e ne$le & ! avoidance ( too /rong a curr5t1 p]ceptible sc>r+ 7sc>r+ p]ceptible to ! ord9>y obs]v] or at ord9>y di/ance7 ne$ r>ely occur4 ,:at measures are to be advis$ = ! irritation produc$ by ! op]ation8 ,hot-wat] applications & ! use ( an o9tm5t made ( two dra*ms cold cream & t5 gra9s ( boric acid are ( advantage n only 9 r$uc+ ! result+ hyp]aemia1 b also 9 prev5t+ suppuration & consequ5t sc>r+4 ,to less5 ! *ances ( ! latt]1 cleans+ ! p>ts ) alcohol j be=e & aft] ! op]ation is also ( s]vice4 ,,oedema ,neonatorum4 ,describe oedema neonatorum4 ,! ess5tial symptoms are oedema & a v>iable degree ( h>dness & induration4 ,x develops 9 ! fir/ few days ( life1 & usually ^u ! extremities1 especially ! l[]4 ,x may rema9 m or less limit$ to ^! p>ts1 b1 z a rule1 sl[ly ext5ds4 ,! sk9 is ( a yell[i%1 dusky1 or livid color1 & sometimes glossy or %9+4 ,!re are g5]al symptoms ( dr[s9ess1 subnormal temp]ature1 weak5$ circulation1 & impair$ respiration1 :i* gradually increase1 & 9 eighty to n9ety p] c5t4 ( ! cases lead to dea?4 ,x is believ$ to be simil> to anas>ca 9 ! adult & to be due to l causes4 ,treatm5t consi/s 9 ma9ta9+ ! body-heat1 suffici5t & prop] n\ri%m5t & /imulation4 ,scl]ema ,neonatorum4 7,synonyms3 ,scl]od]ma ,neonatorum2 ,scl]ema ( ! ,newborn47 ,:at is scl]ema neonatorum8 ,scl]ema neonatorum is a disease ( infancy1 %[+ itself usually at or %ortly aft] bir?1 & is *>act]iz$ by a diffuse /iffness & rigidity ( ! integum5t1 accompani$ by coldness1 oedema1 discoloration1 lividity & g5]al circulatory di/urbance4 ,describe ! symptoms1 c\rse1 nature & treatm5t ( scl]ema neonatorum4 ,z a rule ! disease fir/ manife/s itself ^u ! l[] extremities1 & !n gradually1 b usually rapidly1 invades ! trunk1 arms & face4 ,! surface is cold4 ,! sk91 :i* is not$ to be r$di%1 purpli% or mottl$1 is oedemat\s1 /iff & t5se2 9 consequ5ce ! infant is unable to move1 respires feebly & usually p]i%es 9 a few days or weeks4 ,9 extremely exceptional in/ances ! disease1 aft] involv+ a small "p1 may retrogress & recov]y take place4 ,! disease is r>e1 & 9 mo/ cases is f\nd associat$ ) pneumonia & ) affections ( ! circulatory app>atus4 ,treatm5t %\ld be direct$ t[>d ma9ta9+ w>m? & prop] alim5tation4 ,scl]od]ma4 7,synonyms3 ,scl]ema2 ,scl]iasis2 ,d]matoscl]osis2 ,morphoea2 ,keloid ( ,addison47 ,:at is scl]od]ma8 ,scl]od]ma is an acute or *ronic disease ( ! sk9 *>act]iz$ by a localiz$ or g5]al1 m or less diffuse1 usually pigm5t$1 rigid1 /iff5$1 indurat$ or hide-b\nd condition4 ,morphoea1 by "s =m]ly ?\ght to be a di/9ct affection1 is n[ believ$ to be a =m ( scl]od]ma2 z typically met ) x is *>act]iz$ by "o or m r\nd$1 oval1 or elongate1 co9- to palm-siz$1 p9ki%1 or :iti% ivory-look+ pat*es4 ,9 "s in/ances su* pat*es are se5 9 association ) ! m classic type ( scl]od]ma j def9$4 ,describe ! symptoms ( ord9>y scl]od]ma4 ,! disease may be acute or *ronic1 usually ! latt]4 ,a portion or almo/ ! entire surface may be involv$1 or x may occupy v>i\sly siz$ & %ap$ areas4 ,! integum5t becomes m or less rigid & indurat$1 h>d to ! t\*1 hide-b\nd1 & 9 m>k$ cases immobile4 ,,oedema may1 especially 9 ! m acute cases1 prec$e ! induration4 ,pigm5tation1 ( a yell[i% or br[ni% color1 is (t5 a precursory & accompany+ symptom4 ,! sk9 feels tight & contract$1 & 9 "s in/ances numbness & cramp-l pa9s are compla9$ (4 ,describe ! v>iety kn[n z morphoea4 ,! pat*es 7"o1 sev]al1 or m71 occurr+ mo/ frequ5tly ab\t ! trunk1 are 9 ! beg9n+ usually slightly hyp]aemic1 lat] becom+ pale-yell[i% or :ite1 & hav+ a p9ki% or lilac bord] made up ( m9ute capill>ies4 ,!y are1 z a rule1 %>ply def9$1 ) a smoo?1 (t5 %9+ & atrophic-look+ surface2 are s(t1 f9e or lea!ry to ! t\*1 on a level or some:at depress$1 & appe>+ n unlike a piece ( bacon or ivory laid 9 ! sk94 ,occasionally ! pat*es are not$ to occur ov] n]ve-tracts4 ,! adjac5t sk9 may be normal or !re may be m or less yell[i% or br[ni% mottl+4 ,! subjective symptoms ( t+l+1 it*+1 numbness1 & ev5 pa91 may or may n be pres5t4 ,:at is ! c\rse ( ! disease8 ,soon] or lat]1 usually aft] mon?s or ye>s1 ! disease ends 9 resolution & recov]y1 or 9 m>k$ atrophic *anges1 caus+ contraction & de=mity4 ,z a rule1 ! g5]al heal? rema9s good4 ,/ate ! causes ( scl]od]ma4 ,! condition is to be consid]$ z probably ( neurotic orig94 ,exposure & %ock to ! n]v\s sy/em are to be look$ ^u z influ5tial4 ,x is a r>e disease1 obs]v$ usually 9 e>ly adult or middle life1 & is m frequ5t 9 wom5 ?an 9 m54 ,:at is ! pa?ology8 ,9 typical & advanc$ cases bo? ! true sk9 & ! subcutane\s connective tissue %[ a m>k$ increase ( connective tissue-elem5t1 ) ?ick5+ & cond5sation ( ! fib]s4 ,is !re any difficulty 9 rea*+ a diagnosis 9 scl]od]ma8 ,z a rule1 no4 ,! *>act]s--rigidity1 /iffness1 h>dness1 & hide-b\nd condition ( ! sk9--are always di/9ctive4 ,! peculi> appe>ance1 ! c\rse & "* ( ! pat*es1 ( morphoea are q di/9ctive4 ,give ! prognosis ( scl]od]ma4 ,x %\ld always be gu>d$4 ,9 _m in/ances recov]y takes place1 :il/ 9 o!rs ! disease is rebelli\s1 la/+ indef9itely4 ,! prognosis ( ! v>iety kn[n z morphoea is less unfavorable ?an g5]al scl]od]ma1 & recov]y m frequ5t4 ,:at is ! treatm5t ( scl]od]ma8 ,tonics1 su* z ars5ic1 qu9ia1 nux vomica1 & cod-liv] oil2 conjo9tly ) ! local employm5t ( /imulat+1 oily or fatty applications1 friction1 & electricity4 ,ro5tg5-ray treatm5t is (t5 ( value1 m especially 9 ! morphoea type4 ,elephantiasis4 7,synonyms3 ,elephantiasis ,arabum2 ,pa*yd]mia2 ,b>badoes ,leg2 ,elephant ,leg47 ,give a descriptive def9ition ( elephantiasis4 ,elephantiasis is a *ronic hyp]trophic disease ( ! sk9 & subcutane\s tissue *>act]iz$ by enl>gem5t & de=mity1 lymphangitis1 swell+1 oedema1 ?ick5+1 induration1 pigm5tation1 & m or less papill>y gr[?4 ,illu/ration3 ,fig4 #ce4 ,elephantiasis ( mod]ate developm5t4 ,:at p>ts are commonly involv$ 9 elephantiasis8 ,usually "o or bo? legs2 occasionally ! g5italia2 o!r p>ts are seldom affect$4 ,describe ! symptoms ( elephantiasis4 ,! disease usually beg9s ) recurr5t 7at int]vals ( mon?s or ye>s7 erysipelat\s inflammation1 ) swell+1 pa91 heat1 r$ness & lymphangitis2 aft] ea* attack ! p>ts rema9 some:at increas$ 9 size1 al?\gh at fir/ n noticeably s4 ,aft] mon?s or "o or two ye>s ! enl>gem5t or hyp]trophy becomes conspicu\s1 ! "p is *ronically swoll51 oedemat\s & h>d2 ! sk9 is ?ick5$1 ! normal l9es & folds exagg]at$1 ! papillae enl>g$ & prom95t1 & ) m or less fissur+ & pigm5tation4 ,:at is ! fur!r c\rse ( ! disease8 ,!re is gradual increase 9 size1 ! p>ts 9 "s in/ances rea*+ enorm\s proportions2 ! sk9 becomes r\gh & w>ty1 eczemat\s inflammation is (t5 sup]add$1 &1 soon] or lat]1 ulc]s1 sup]ficial or deep1 =m--:i*1 toge!r ) ! cru/+ & mod]ate scal9ess1 pres5t a /rik+ picture4 ,!re may be p]iods ( comp>ative inactivity1 or1 aft] rea*+ a c]ta9 developm5t1 ! disease may1 = a "t at lea/1 rema9 /ation>y4 ,are !re any subjective symptoms8 ,a v>iable degree ( pa9 is (t5 not$1 especially m>k$ dur+ ! inflammatory attacks4 ,! g5]al heal? is n involv$4 ,/ate ! cause ( elephantiasis4 ,! etiology is obscure4 ,! disease r>ely occurs be=e pub]ty4 ,x is mo/ common 9 tropical c\ntries1 m especially among ! poor & neglect$4 ,x is n h]$it>y1 nor c x be said to be contagi\s4 ,inflammation & ob/ruction ( ! lymphatics1 probably due1 accord+ to late inve/igations1 to ! pres5ce ( l>ge numb]s ( fil>ia 7microscopic ?read-worms7 9 ! lymph *annels & bloodvessels1 is to be look$ ^u z ! imm$iate cause4 ,:at is ! pa?ology8 ,all p>ts ( ! sk9 & subcutane\s connective-tissue are hyp]trophi$1 ! lymphatic gl&s are swoll51 ! lymph *annels & bloodvessels enl>g$1 & !re is m or less inflammation1 ) oedema4 ,second>ily1 f pressure1 atrophy & de/ruction ( ! sk9-gl&s1 & atrophic deg5]ation ( ! fat & muscles result4 ,:at are ! diagno/ic *>act]s ( beg9n+ elephantiasis8 ,recurr5t erysipelat\s inflammation1 att5d$ ) gradual enl>gem5t ( ! p>ts4 ,! appe>ances1 lat] 9 ! c\rse ( ! disease1 are s *>act]i/ic t a mi/ake is sc>cely possible4 ,give ! prognosis ( elephantiasis4 ,if ! case comes "u treatm5t 9 ! fir/ mon?s ( its developm5t1 ! process may probably be *eck$ or held 9 abeyance2 :5 well e/abli%$1 r>ely m ?an palliation is possible4 ,:at is ! treatm5t ( elephantiasis8 ,! inflammatory attacks are to be treat$ on g5]al pr9ciples4 ,qu9ia1 potassium iodide1 iron & o!r tonics are occasionally useful2 &1 especially 9 ! e>li] /ages1 climatic *ange is (t5 ( value4 ,betwe5 ! inflammatory attacks ! p>ts are to be rubb$ ) an o9tm5t ( iod9e or m]cury1 toge!r ) galvanization ( ! involv$ "p4 ,9 elephantiasis ( ! leg1 a roll] or rubb] b&age1 or ! gum /ock+1 is to be worn2 compression & ligation ( ! ma9 art]y1 & ev5 excision ( ! sciatic n]ve1 h all be5 employ$1 ) m or less dim9ution 9 size z a result4 ,9 elephantiasis ( ! g5italia1 if ! disease is well advanc$1 excision or amputation ( ! p>ts is to be practis$4 ,eczemat\s inflammation1 if pres5t1 is to be treat$ ) ! ord9>y rem$ies4 ,d]matolysis4 7,synonym3 ,cutis ,p5dula47 ,give a descriptive def9ition ( d]matolysis4 ,d]matolysis is a r>e disease1 consi/+ ( hyp]trophy & loos5ess ( ! sk9 & subcutane\s connective tissue1 ) a t5d5cy to hang 9 folds4 ,describe ! symptoms & c\rse ( d]matolysis4 ,x may be cong5ital or acquir$1 & maybe limit$ to a small or l>ge area1 or develop simultane\sly at sev]al regions4 ,all p>ts ( ! sk91 includ+ ! follicles1 gl&s & subcutane\s connective & areol> tissue1 %>e 9 ! hyp]trophy2 & ?is 9 exceptional in/ances may be s ext5sive t ! integum5t hangs 9 folds4 ,! enl>gem5t ( ! follicles1 natural folds & rugae gives rise to an unev5 surface1 b ! sk9 rema9s s(t & pliable4 ,!re is also increas$ pigm5tation1 ! integum5t becom+ m or less br[ni%4 ,:at c\rse does d]matolysis pursue8 ,its developm5t is sl[ & usually progressive4 ,x gives rise to no fur!r inconv5i5ce ?an its weight & consequ5t discom=t4 ,give ! etiology4 ,! etiology is obscure4 ,x is consid]$ by "s au?ors z alli$ to molluscum fibrosum1 &1 9 fact1 z a manife/ation ( t disease1 ord9>y molluscum tumors sometimes be+ associat$ ) x4 ,x is n malignant4 ,:at is ! pa?ology8 ,! disease consi/s ( a simple hyp]trophy ( all ! sk9 /ructures & ! subcutane\s connective tissue4 ,:at is ! treatm5t ( d]matolysis8 ,excision :5 advisable & practicable4 ,,class ,v4--,,atrophies4 ,alb9ismus4 ,:at d y und]/& by alb9ismus8 ,cong5ital abs5ce1 ei!r p>tial or complete1 ( ! pigm5t normally pres5t 9 ! sk91 hair & eyes4 ,describe complete alb9ismus4 ,9 complete alb9ismus ! sk9 ( ! entire body is :ite1 ! hair v f9e1 s(t & :ite or :iti%-yell[ 9 color1 ! irides are colorless or light blue1 & ! pupils1 ow+ to ! abs5ce ( pigm5t 9 ! *oroid1 are r$2 ?is abs5ce ( pigm5t 9 ! eyes gives rise to photophobia & ny/agmus4 ,alb9os--a t]m appli$ to su* individuals--are commonly ( feeble con/itution1 & may exhibit imp]fect m5tal developm5t4 ,describe p>tial alb9ismus4 ,p>tial alb9ismus is met ) mo/ frequ5tly 9 ! color$ race4 ,9 ?is =m ( ! affection ! pigm5t is abs5t 9 "o1 sev]al or m v>i\sly-siz$ pat*es2 usually ! hairs gr[+ !reon are likewise colorless4 ,is !re any /ructural *ange 9 ! sk98 ,no4 ,! functions ( ! sk9 are p]=m$ 9 a p]fectly natural mann]1 & microscopical exam9ation %[s no dep>ture f normal /ructure save ! complete abs5ce ( pigm5t4 ,:at is kn[n 9 reg>d to ! etiology8 ,no?+ is kn[n ( ! causes produc+ alb9ismus beyond ! s+le fact t x is frequ5tly h]$it>y4 ,does alb9ismus admit ( treatm5t8 ,no2 ! condition is )\t rem$y4 ,vitiligo4 7,synonyms3 ,leucod]ma2 ,leucopa?ia47 ,give a def9ition ( vitiligo4 ,vitiligo may be def9$ z a disease involv+ ! pigm5t ( ! sk9 alone1 *>act]iz$ by sev]al or m progressive1 milky-:ite pat*es surr\nd$ by increas$ pigm5tation4 ,describe ! symptoms ( vitiligo4 ,! disease may beg9 at "o or m regions1 ! backs ( ! h&s1 trunk & face be+ favorite p>ts2 its appe>ance is usually insidi\s1 & ! spots may n be especially noticeable until !y are ! size ( a pea or l>g]4 ,! pat*es gr[ sl[ly1 are milky or dead :ite1 smoo?1 non-elevat$1 & ( r\nd$ outl9e2 ! bord]+ sk9 is d>k] ?an normal1 %[+ increas$ pigm5tation4 ,sev]al contigu\s spots may coalesce & =m a l>ge1 irregul>ly-%ap$ pat*4 ,hair gr[+ on ! involv$ sk9 may or may n be blan*$4 ,!re are no subjective symptoms4 ,:at c\rse does vitiligo pursue8 ,! c\rse ( ! disease is sl[1 mon?s & sometimes ye>s elaps+ be=e x rea*es conspicu\s developm5t4 ,x may aft] a "t rema9 /ation>y1 or1 9 r>e in/ances1 retrogress2 z a rule1 h[ev]1 x is progressive4 ,exceptionally1 ! great] "p1 or ev5 ! :ole surface may ev5tually be involv$4 ,give ! etiology ( vitiligo4 ,di/urb$ inn]vation is ?\ght to be influ5tial4 ,! disease develops (t5 )\t app>5t cause4 ,alopecia areata & morphoea h be5 obs]v$ associat$ ) x4 ,illu/ration3 ,fig4 #cf4 ,vitiligo4 ,/ate ! pa?ology ( vitiligo4 ,! disease consi/s1 anatomically1 ( bo? a dim9ution & increase ( ! pigm5t--! :ite pat* result+ f ! =m]1 & ! pigm5t$ bord]s f ! latt]4 ,!re is no textural *ange1 ! sk9 9 o!r respects be+ normal4 ,f :at diseases is vitiligo to be diff]5tiat$8 ,f morphoea & f ! anae/hetic pat*es ( leprosy4 ,9 :at respects d ^! diseases diff] f vitiligo8 ,9 morphoea !re is textural *ange1 & 9 leprosy bo? textural *ange & con/itutional or o!r symptoms4 ,:at prognosis is to be giv58 ,x %\ld always be gu>d$1 ! disease 9 almo/ all cases be+ irresponsive to treatm5t4 ,:at is ! treatm5t ( vitiligo8 ,! g5]al heal? is to be look$ aft]1 & rem$ies direct$ especially t[>d ! n]v\s sy/em to be employ$4 ,ars5ic1 9 small & cont9u$ doses1 seems at times to h an influ5ce2 :5 !re is lack ( g5]al tone x may be prescrib$ z foll[s3-- ,rx ,liq4 potassii ars5itis1 4444444444444 fdramj ,t9ct4 nucis vom41 4444444444444444444 fdramiij ,elix4 calisayae1 4444444 q4 s4 ad 44444 f,oziv4 ,m4 ,,sig4--fdramj t4 d4 ,supr>5al-gl& prep>ations 9 mod]ate dosage long cont9u$ has appe>$ 9 a few in/ances to be ( "s b5efit4 ,:5 ^u expos$ p>ts1 /imulation ( ! pat*es1 ) ! view ( produc+ hyp]aemia & consequ5t pigm5t deposit2 conjo9$ ) suitable applications to ! surr\nd+ pigm5t$ sk91 ) a view to less5 ! coloration 7see treatm5t ( *loasma71 w be ( aid 9 r5d]+ ! disease less conspicu\s4 ,or ! condition may be1 9 a measure1 mask$ by /a9+ ! pat*es ) walnut juice or simil> pigm5t4 ,canities4 7,synonym3 ,grayness ( ! ,hair47 ,describe canities4 ,canities1 or gray+ ( ! hair1 may occur 9 localiz$ areas or x may be m or less g5]al2 ! blan*+ may be slight1 sc>cely am\nt+ to slight grayness1 or x may be complete4 ,x is common to advanc+ ye>s 7canities s5ilis72 x is se5 also exceptionally 9 e>ly life 7canities praematura74 ,! condition is usually p]man5t4 ,! loss ( pigm5t takes place1 z a rule1 sl[ly1 b sev]al app>5tly au!ntic cases h be5 report$ 9 :i* ! *ange occurr$ 9 ! c\rse ( a night or 9 a few days4 ,:at is ! etiology ( canities8 ,! causes are obscure4 ,h]$ity is usually an influ5tial factor1 & conditions :i* impair ! g5]al nutrition h at times an etiological be>+4 ,int5se anxiety1 fright1 & o!r pr(\nd n]v\s %ock are look$ ^u z causative 9 sudd5 gray+ ( ! hair4 ,give ! treatm5t4 ,canities is )\t rem$y4 ,dye+1 al?\gh n to be advis$1 is (t5 practis$1 & ! condition ?us mask$4 ,alopecia4 7,synonym3 ,baldness47 ,:at d y und]/& by alopecia8 ,by alopecia is meant loss ( hair1 ei!r p>tial or complete4 ,"n ! sev]al v>ieties ( alopecia4 ,! s-call$ v>ieties are bas$ ma9ly ^u ! etiology1 & are nam$ cong5ital alopecia1 premature alopecia & s5ile alopecia4 ,describe cong5ital alopecia4 ,cong5ital alopecia is a r>e condition1 9 :i* ! hair-loss is usually not$ to be pat*y1 or ! g5]al hair-gr[? may simply be scanty4 ,9 r>e in/ances ! hair has be5 entirely want+2 9 su* cases !re is usually defective developm5t ( o!r /ructures1 su* z ! tee?4 ,describe premature alopecia4 ,loss ( hair occurr+ 9 e>ly & middle adult life is n uncommon1 & may consi/ ( a simple ?9n+ or ( m or less complete baldness ( ! :ole or great] "p ( ! scalp4 ,x usually develops sl[ly1 "s mon?s or sev]al ye>s pass+ be=e ! condition is well e/abli%$4 ,x is (t5 idiopa?ic1 & )\t app>5t cause fur!r ?an probably a h]$it>y pr$isposition4 ,x may also be symptomatic1 z1 = example1 ! loss ( hair1 usually rapid 7defluvium capillorum71 foll[+ sy/emic diseases1 su* z ! v>i\s fev]s1 & syphilis2 or z a result ( a long-cont9u$ seborrhoea or seborrhoeic eczema 7alopecia furfuracea74 ,describe s5ile alopecia4 ,?is is ! baldness s frequ5tly se5 develop+ ) advanc+ ye>s1 & may consi/ m]ely ( a g5]al ?9n+1 or1 m commonly a g5]al ?9n+ ) a m or less complete baldness ( ! temporal & ant]ior portion or ( ! v]tex ( ! scalp4 ,:at is ! prognosis 9 ! v>i\s v>ieties ( alopecia8 ,9 ^? cases 9 :i* !re is a positive cause1 z1 = in/ance1 9 symptomatic alopecia1 ! prognosis is1 z a rule1 favorable1 especially if no family pr$isposition exi/s4 ,9 ! cong5ital & s5ile v>ieties ! condition is usually irrem$iable4 ,9 idiopa?ic premature alopecia1 ! prognosis %\ld be extremely gu>d$4 ,h[ w\ld y treat alopecia8 ,by remov+ or modify+ ! pr$ispos+ factors by appropriate con/itutional rem$ies1 & by ! ext]nal use ( /imulat+ applications4 ,"n sev]al rem$ies or comb9ations usually employ$ 9 ! local treatm5t4 ,sulphur o9tm5t1 full /r5g? or weak5$ ) l>d or vasel9e2 a lotion ( resorc9 consi/+ ( "o or two dra*ms to f\r ounces ( alcohol1 to :i* is add$ t5 to ?irty m9ims ( ca/or oil2 & a lotion made up z foll[s3-- ,rx ,t9ct4 can?>idis1 444444444444444444 fdramiv ,t9ct4 capsici1 4444444444444444444444 f,ozj ,ol4 ric9i1 44444444444444444444444444 fdramss-fdramj ,alcoholis1 4444 q4 s4 ad 4444444444444 f,oziv4 ,m4 ,! foll[+ is sometimes b5eficial3-- ,rx ,resorc91 4444444444444444444444444444 gr4 lxxx ,qu99ae 7alkaloid71 444444444444444444 gr4 xv ,ol4 ric9i1 44444444444444444444444444 m9imv-m9imxx ,alcoholis1 444444444444444444444444444 f,oziv4--,m4 ,ano!r excell5t =mula is3 ,rx ,resorc91 4444444444444444444444444444 gr4 lxxx-cxx ,ac4 c>bolici cry/41 4444444444444444 gr4 xx ,spts4 myrciae1 444444444444444444444444 f,oziv4--,m4 ,& also ! v>i\s o!r /imulat+ applications employ$ 9 alopecia areata 7q4 v474 ,o!r measures ( value are3 ,f>adic electricity appli$ daily = five m9utes ) a metallic bru% or comb2 daily massage1 ) ! object ( loos5+ ! sk9 & giv+ m fre$om to cutane\s & subcutane\s circulation2 & ! application1 two or ?ree times weekly1 ( /atic electricity by means ( ! /atic cr[n electrode4 7,! application select$ %\ld be g5tly--n rubb+--appli$ daily or e second or ?ird day1 accord+ to ! case2 if a lotion1 moi/5+ ! p>ts ) x2 if an o9tm5t1 m]ely greas+ ! p>ts4 ,%ampoo+ e "o to ?ree weeks1 accord+ to circum/ances47 ,alopecia ,areata4 7,synonyms3 ,area ,celsi2 ,alopecia ,circumscripta47 ,:at d y und]/& by alopecia areata8 ,illu/ration3 ,fig4 #cg4 ,alopecia ,areata4 ,alopecia areata is an affection ( ! hairy sy/em1 9 :i* occur "o or m circumscrib$1 r\nd or oval pat*es ( complete baldness unatt5d$ by any m>k$ alt]ation 9 ! sk94 ,^u :at p>ts & at :at age does ! disease occur8 ,9 ! l>ge majority ( cases ! disease is limit$ to ! scalp2 b x may invade o!r portions ( ! body1 z ! be>d$ region1 eyebr[s1 eyela%es1 &1 9 r>e in/ances1 ! entire integum5t4 ,x is mo/ common betwe5 ! ages ( t5 & =ty4 ,describe ! symptoms ( alopecia areata4 ,! disease beg9s ei!r sudd5ly1 )\t premonitory symptoms1 "o or sev]al pat*es be+ =m$ 9 a few h\rs2 or1 & z is m usually ! case1 sev]al days or weeks elapse be=e ! bald area or areas are suffici5tly l>ge to become noticeable4 ,! pat*es cont9ue to ext5d p]iph]ally = a v>iable p]iod1 & !n rema9 /ation>y1 or sev]al gradually coalesce & =m a l>ge1 irregul> area involv+ ! entire or a great] portion ( ! scalp4 ,! sk9 ( ! affect$ regions is smoo?1 fa9tly p9k or milky :ite1 & at fir/ pres5ts no dep>ture f ! normal2 soon] or lat]1 h[ev]1 ! follicles become less prom95t1 & slight atrophy or ?9n+ may occur1 ! bald plaques be+ slightly depress$4 ,illu/ration3 ,fig4 #ch4 ,alopecia ,areata--complete hair loss4 ,occasionally1 usually ab\t ! p]iph]y & 9 ! e>ly /ages1 a few hair-/umps may be se54 ,:at c\rse does alopecia areata pursue8 ,almo/ inv>iably *ronic4 ,aft] ! lapse ( a v>iable p]iod ! pat*es cease to ext5d1 ! hairs at ! m>g9s ( ! bald areas be+ firmly fix$ 9 ! follicles2 soon] or lat] a f9e1 colorless lanugo or d[n %[s itself1 :i* may cont9ue to gr[ until x is ab\t a half-in* or s 9 l5g? & !n drop out2 or x may rema91 become co>s] & pigm5t$1 & ! p>ts resume _! normal condition4 ,n infrequ5tly1 h[ev]1 aft] gr[+ = a "t1 ! new hair falls out1 & ?is may happ5 sev]al times be=e ! t]m9ation ( ! disease4 ,are !re any subjective symptoms 9 alopecia areata8 ,z a rule1 n2 b occasionally ! appe>ance ( ! pat*es is prec$$ by sev]e heada*e1 it*+ or burn+1 or o!r manife/ations ( di/urb$ inn]vation4 ,/ate ! cause ( alopecia areata4 ,! etiology is obscure4 ,two !ories z to ! cause ( ! disease exi/3 "o ( ^! reg>ds x z p>asitic1 & ! o!r consid]s x to be trophoneurotic4 ,d\btless bo? are "r1 z a /udy ( ! lit]ature w\ld indicate t !re are1 z reg>ds etiology1 really two v>ieties--! contagi\s & ! non-contagi\s4 ,9 ,am]ica examples ( ! contagi\s v>iety are uncommon4 ,does ! sk9 und]go any alt]ative or de/ructive *anges8 ,microscopical exam9ation ( ! sk9 ( ! diseas$ area %[s little or no alt]ation 9 its /ructure beyond slight ?9n+4 ,h[ d y di/+ui% alopecia areata f r+worm8 ,! plaques ( alopecia areata are smoo?1 (t5 completely devoid ( hair1 & free f scales2 :ile ^? ( r+worm %[ num]\s brok5 hairs & /umps1 desquamation1 & usually symptoms ( mild inflammatory action4 ,9 d\btful cases rec\rse %\ld be _h to ! microscope4 ,:at is ! prognosis 9 alopecia areata8 ,! disease is (t5 rebelli\s1 b 9 *ildr5 & "y adults ! prognosis is almo/ inv>iably favorable1 p]man5t loss ( hair be+ uncommon4 ,! same holds true1 b to a mu* less ext5t1 ) ! disease z occurr+ 9 ^? ( m advanc$ age4 ,9 ext5sive cases--^? 9 :i* ! hair ( ! entire scalp f9ally entirely disappe>s1 & sometimes involves all hairy p>ts--! prognosis is unfavorable4 ,only exceptionally does recov]y ensue 9 su* in/ances4 ,! unc]ta9 duration1 h[ev]1 mu/ be borne 9 m9d2 mon?s1 & 9 "s in/ances sev]al ye>s1 may elapse be=e complete re/oration ( hair takes place4 ,relapses are n uncommon4 ,h[ is alopecia areata treat$8 ,by bo? con/itutional & local measures1 ! =m] hav+ 9 view ! invigoration ( ! n]v\s sy/em1 & ! latt] a /imulat+ & p>asiticidal action ( ! affect$ areas4 ,give ! con/itutional treatm5t4 ,ars5ic is p]haps ! mo/ valuable rem$y1 :ile qu99e1 nux vomica1 piloc>p9e1 cod-liv] oil & f]rug9\s tonics may1 9 suitable cases1 (t5 be adm9i/]$ ) b5efit4 ,"n sev]al rem$ies or comb9ations employ$ 9 ! ext]nal treatm5t ( alopecia areata4 ,o9tm5ts ( t> & sulphur ( v>y+ /r5g?2 ! v>i\s m]curial o9tm5ts2 ! t> oils1 ei!r pure or ) alcohol2 /imulat+ lotions1 conta9+ v>y+ proportions1 s+ly or 9 comb9ation1 ( t9cture ( capsicum1 t9cture ( can?>ides1 aqua ammoniae1 & oil ( turp5t9e4 ,! foll[+ is a safe =mula1 especially 9 disp5s>y & ignorant class practice3 ,rx beta-naph?ol1 444444444444444444444 dramss-dramj ,ol4 cad9i1 44444444444444444444444444 dramj ,ungt4 sulphuris1 4444444444 q4 s4 ad 444 ,ozj ,m4 ,! cauti\s use ( a five to tw5ty p] c5t4 *rys>ob9 o9tm5t is ( value4 ,pa9t+ ! pat*es ) pure c>bolic acid or trikresol e t5 days or two weeks sometimes acts well2 x %\ld n be appli$ ov] l>ge areas nor us$ 9 "y *ildr54 ,galvanization or f>adization ( ! affect$ p>ts may also be employ$1 & )1 occasionally1 b5eficial effect4 ,/imulation ) ! high-frequ5cy curr5t by means ( ! vacuum electrode is also ( value4 ,:5 practicable1 ! ,f9s5 light c be appli$ ) hope ( b5efit & cure4 ,atrophia ,pilorum ,propria4 7,synonym3 ,atrophy ( ! ,hair47 ,:at d y und]/& by atrophy ( ! hair8 ,an atrophic1 brittle1 dry condition ( ! hair1 & :i* may be ei!r symptomatic or idiopa?ic4 ,describe ! sev]al conditions met )4 ,z a symptomatic affection1 ! dry1 brittle condition ( ! hair met ) 9 seborrhoea1 9 sev]e con/itutional diseases1 & 9 ! v>i\s vegetable p>asitic affections1 may be ref]r$ to4 ,z an idiopa?ic disease x is r>e1 consi/+ simply ( a brittl5ess & an unev5 & irregul> =mation ( ! hair-%aft1 ) a t5d5cy to split up into filam5ts 7fragilitas cr9ium72 or !re may be localiz$ swell+ & bur/+ ( ! hair-%aft1 ! nodes ?us produc$ hav+ a %9+1 semi-transp>5t appe>ance 7tri*orrhexis nodosa74 ,?is latt] usually occurs ^u ! be>d & m\/a*e4 ,/ate ! causes ( atrophy ( ! hair4 ,! causes ( ! symptomatic v>iety are usually evid5t2 ! etiology ( idiopa?ic atrophy is obscure1 b by _m is ?\ght due to p>asitism4 ,illu/ration3 ,fig4 #ci4 ,tri*orrhexis ,nodosa4 7,aft] ,mi*elson47 ,:at w\ld be y\r prognosis & treatm5t 9 atrophy ( ! hair8 ,symptomatic atrophy usually responds to prop] measures1 b always sl[ly2 treatm5t is bas$ ^u ! etiological factors4 ,= ! idiopa?ic disease little1 z a rule1 c be done2 repeat$ %av+ or cutt+ ! hair has1 9 exceptional in/ances1 be5 foll[$ by favorable results4 ,atrophia ,unguis4 7,synonyms3 ,atrophy ( ! ,nails2 ,ony*atrophia47 ,describe atrophy ( ! nails4 ,! nails are s(t1 ?9 & brittle1 splitt+ easily1 & are (t5 opaque & lu/reless1 & may h a worm-eat5 appe>ance4 ,sev]al or m are usually affect$4 ,/ate ! causes ( atrophy ( ! nails4 ,! condition may be cong5ital or acquir$1 usually ! latt]4 ,x may result f trauma1 or be produc$ by c]ta9 cutane\s diseases1 notably eczema & psoriasis2 or x may foll[ injuries or diseases ( ! n]ves4 ,syphilis & *ronic wa/+ con/itutional diseases may also int]f]e ) ! normal gr[? ( ! nail-sub/ance1 produc+ v>y+ degrees ( atrophy4 ,! fungi ( t9ea tri*ophyt9a & t9ea favosa at times invade ^! /ructures & lead to m or less complete dis9tegration--ony*omycosis4 ,illu/ration3 ,fig4 #dj4 ,atrophy ( ! ,nails4 ,:at is ! treatm5t ( atrophy ( ! nails8 ,treatm5t w dep5d ^u ! cause4 ,:5 x is due to eczema or psoriasis1 appropriate con/itutional & local rem$ies %\ld be prescrib$4 ,if x is ! result ( syphilis1 m]cury & potassium iodide are to be advis$4 ,9 ony*omycosis--an exce$+ly ob/9ate affection--! nails %\ld be kept closely cut & p>$1 & a "o- to five-gra9 solution ( corrosive sublimate appli$ sev]al times a day2 a lotion ( sodium hyposulphite1 a dra*m to ! ounce1 is also a valuable & safe application4 ,atrophia ,cutis4 7,synonyms3 ,atrophod]ma2 ,atrophy ( ! ,sk947 ,:at d y und]/& by atrophy ( ! sk98 ,by atrophy ( ! sk9 is meant an idiopa?ic or symptomatic wa/+ or deg5]ation ( its compon5t elem5ts4 ,/ate ! sev]al conditions met )4 ,glossy sk91 g5]al idiopa?ic atrophy ( ! sk91 p>*m5t sk91 atrophic l9es & spots1 s5ile atrophy1 & ! atrophy foll[+ c]ta9 cutane\s diseases4 ,describe glossy sk9 7atrophod]ma neuriticum71 & /ate ! treatm5t4 ,glossy sk9 is a r>e condition foll[+ an injury or disease ( ! n]ve4 ,x is usually se5 ab\t ! f+]s4 ,! sk9 is hairless1 fa9tly r$di%1 smoo? & %9+1 ) a v>ni%$ & ?9 appe>ance1 & ) a t5d5cy to fissur+4 ,m or less sev]e & p]si/5t burn+ pa9 prec$es & accompanies ! atrophy4 ,protective applications are call$ =1 ! disease t5d+ sl[ly to spontane\s disappe>ance4 ,describe g5]al idiopa?ic atrophy ( ! sk91 & give ! treatm5t4 ,g5]al idiopa?ic atrophy ( ! sk9 is extremely r>e1 & is *>act]iz$ by a gradual1 m or less g5]al1 deg5]ative & quantitative atrophy ( ! sk9 /ructures1 accompani$ usually ) m or less discoloration & pigm5tation4 ,treatm5t is palliative & bas$ ^u indications4 ,describe p>*m5t sk91 & /ate ! treatm5t4 ,p>*m5t sk9 7x]od]ma pigm5tosum1 angioma pigm5tosum et atrophicum7 is a r>e disease1 ! exact nature ( :i* is n und]/ood4 ,x is *>act]iz$ by ! appe>ance ( num]\s dissem9at$1 freckle-l pigm5t-spots1 telangiectases1 atrophi$ muscles1 m or less %r9k+ & contraction ( ! integum5t1 & foll[$1 9 mo/ in/ances1 by epi!liomat\s tumors & ulc]ation1 & f9ally dea?4 ,x is usually sl[ 9 its c\rse1 beg9n+ 9 *ildhood & la/+ = ye>s4 ,x is n infrequ5tly se5 9 sev]al *ildr5 ( ! same family4 ,treatm5t is palliative1 consi/+1 if necess>y1 ( ! use ( protective applications & ( ! adm9i/ration ( tonics & nutri5ts4 ,describe atrophic l9es & spots4 ,atrophic l9es & spots 7/riae et maculae atrophicae7 may be idiopa?ic or symptomatic1 ! lesions consi/+ ( sc>-l or atrophic-look+1 :iti% l9es & macules1 mo/ commonly se5 on ! trunk4 ,!y are smoo? & gli/5+4 ,slight hyp]aemia usually prec$es _! =mation4 ,z an idiopa?ic disease its c\rse is insidi\s & sl[1 & its progress ev5tually /ay$4 ,! s-call$ l9eae albicantes1 result+ f ! /ret*+ ( ! sk9 produc$ by pregnancy or tumors1 & f rapid developm5t ( fat1 may be m5tion$ z illu/rat+ ! symptomatic v>iety4 ,9 c\rse ( "t ! atrophy becomes less conspicu\s4 ,describe s5ile atrophy4 ,s5ile atrophy is n uncommon1 ! atrophy result+1 z ! "n inf]5tially implies1 f advanc+ age4 ,x is *>act]iz$ by ?9n+ & wa/+1 dryness1 & a wr9kl$ condition1 ) m or less pigm5tation & loss ( hair4 ,circumscrib$ pigm5t>y deposits & seborrhoea1 ) deg5]ation1 are also not$4 ,:at sev]al diseases ( ! sk9 are commonly foll[$ by atrophic *anges8 ,favus1 lupus1 syphilis1 leprosy1 scl]od]ma & morphoea4 ,,class ,,vi4--,,new ,,gr[?s4 ,keloid4 7,synonyms3 ,keloid ( ,alib]t2 ,*eloid47 ,give a descriptive def9ition ( keloid4 ,keloid is a fibro-cellul> new gr[? ( ! corium appe>+ z "o or sev]al v>i\sly-siz$1 irregul>ly-%ap$1 elevat$1 smoo?1 firm1 p9ki% or pale-r$di% cicatri=m lesions4 ,describe ! cl9ical appe>ance ( keloid4 ,! gr[? beg9s z a small1 h>d1 elevat$1 p9ki% or r$di% tub]cle1 increas+ gradually1 sev]al mon?s or ye>s usually elaps+ be=e ! tumor rea*es conspicu\s size4 ,:5 develop$1 x is "o or m in*es 9 diamet]1 is %>ply def9$1 elevat$1 h>d1 r\nd$ or oval1 fungoid or crab-%ap$1 & firmly implant$ 9 ! sk94 ,x is usually p9ki%1 pe>l-:ite1 or r$di%1 commonly devoid ( hair1 ) no t5d5cy to scal9ess1 & )1 usually1 sev]al vessels c\rs+ ov] x4 ,9 "s in/ances x is t5d]1 & x may be spontane\sly pa9ful4 ,! brea/1 especially ov] ! /]nal region1 is a favorite site = its appe>ance4 ,"o1 sev]al or m may be pres5t 9 ! s+le case4 ,:at c\rse does keloid pursue8 ,*ronic2 usually la/+ ?r\gh\t life4 ,9 r>e in/ances spontane\s involution takes place4 ,/ate ! etiology ( keloid4 ,! causes are obscure4 ,! gr[? usually takes its />t f "s injury or lesion ( cont9uity2 = in/ance1 at ! site ( burns1 cuts1 acne & smallpox sc>s1 etc4--cicatricial keloid1 false keloid2 or x may also1 s x is ?\ght1 orig9ate 9 normal sk9--spontane\s keloid1 true keloid4 ,:at is ! pa?ology ( keloid8 ,! lesion is a connective-tissue new gr[? hav+ its seat 9 ! corium4 ,is !re any difficulty 9 ! diagnosis ( keloid8 ,no4 ,x resembles hyp]trophic sc>2 b ?is latt]1 :i* is ess5tially keloidal1 nev] ext5ds beyond ! l9e ( injury4 ,give ! prognosis4 ,! gr[? is p]si/5t & usually irresponsive to treatm5t4 ,9 "s cases1 h[ev]1 !re is ev5tually a t5d5cy to spontane\s retrogression1 up to a c]ta9 po9t at lea/4 ,:at is ! treatm5t ( keloid8 ,usually palliative1 consi/+ ( ! cont9u\s application ( an o9tm5t su* z ! foll[+3-- ,rx ,acidi salicylici1 44444444444444444444 gr4 x-xx ,empla/4 plumbi1 ,empla/4 saponis1 444 aa 4444444 dramiij ,petrolati1 444444444444444444444444444 dramij4 ,m4 ,an o9tm5t ( i*?yol1 tw5ty-five p] c5t4 /r5g?1 rubb$ 9 once or twice daily1 is sometimes b5eficial4 ,op]ative measures1 su* z punctate & l9e> sc>ification1 electrolysis & excision1 are occasionally practis$1 b ! results are r>ely satisfactory & p]man5t2 n infrequ5tly1 inde$1 r5ew$ activity 9 ! progress ( ! gr[? is not$ to foll[4 ,! x-ray c be tri$ ) "s hope ( improvem5t4 ,! adm9i/ration ( ?yroid has be5 ?\ght to h a possible influ5ce 9 "s in/ances4 ,fibroma4 7,synonyms3 ,molluscum ,fibrosum2 ,fibroma ,molluscum47 ,:at d y und]/& by fibroma8 ,fibroma is a connective-tissue new gr[? *>act]iz$ by "o or m sessile or p$unculat$1 pea- to egg-siz$ or l>g]1 s(t or firm1 r\nd$1 pa9less tumors1 seat$ b5ea? & 9 ! sk94 ,describe ! cl9ical appe>ances ( fibroma4 ,! gr[? may be s+le1 9 :i* case x is apt to be p$unculat$ or p5dul\s1 & atta9 consid]able dim5sions2 z a result ( weight or pressure surface-ulc]ation may occur4 ,or1 z commonly met )1 ! lesions are num]\s1 scatt]$ ov] l>ge surface1 & v>y 9 size f a pea to a *]ry2 ! ov]ly+ sk9 be+ normal1 p9ki% or r$di%1 loose1 /ret*$1 hyp]trophi$ or atrophi$4 ,! tumors are pa9less4 ,! g5]al heal? is n involv$4 ,illu/ration3 ,fig4 #da4 ,fibroma4 7,aft] ,oct]lony47 ,:at is ! c\rse ( fibroma8 ,*ronic & p]si/5t4 ,:at is ! etiology ( fibroma8 ,! cause is n kn[n4 ,h]$ity is (t5 not$4 ,! affection is n common4 ,/ate ! pa?ology ( fibroma4 ,! gr[?s are v>i\sly ?\ght to h _! orig9 9 ! connective tissue ( ! corium1 or 9 t ( ! walls ( ! hair-sac1 or 9 ! connective-tissue framework ( ! fatty tissue4 ,rec5t tumors are compos$ ( gelat9\s1 newly-=m$ connective tissue1 & ! old] gr[?s ( a d5se1 firmly-pack$1 fibr\s tissue4 ,f :at gr[?s is fibroma to be diff]5tiat$8 ,f molluscum contagiosum1 neuroma & lipoma2 ! fir/ is diff]5tiat$ by its c5tral ap]ture or depression1 neuroma by its pa9fulness1 & lipoma by its lobulat$ "* & s(t feel4 ,give ! prognosis ( fibroma4 ,! disease is p]si/5t1 & irresponsive to all treatm5t save op]ative measures4 ,:at is ! treatm5t ( fibroma8 ,treatm5t consi/s1 :5 desir$ & practicable1 9 ! removal ( ! gr[?s by ! knife1 or 9 l>ge & p$unculat$ tumors by ! ligature or by ! galvano-caut]y4 ,neuroma4 ,describe neuroma4 ,neuroma ( ! sk9 is an exce$+ly r>e disease1 *>act]iz$ by ! =mation ( v>i\sly-siz$1 usually num]\s1 firm1 immovable & ela/ic fibr\s tub]cles conta9+ new n]ve-elem5ts1 & accompani$ by viol5t1 p>oxysmal pa94 ,_! gr[? is sl[ & usually progressive4 ,lat] !y are pa9ful ^u pressure4 ,!y are limit$ to "o region4 ,! tumors are seat$ 9 ! corium1 ext5d+ into ! deep] /ructure1 & consi/ ( n]ve-fibres1 yell[ ela/ic tissue1 blood vessels & lymphoid cells4 ,9 ! two cases report$1 excision ( ! n]ve-trunk gave1 9 "o in/ance1 p]man5t relief2 9 ! o!r ! effect 0 only tempor>y4 ,xan?oma4 7,synonyms3 ,vitiligoidea2 ,xan!lasma47 ,:at is xan?oma8 ,xan?oma is a connective-tissue new gr[? *>act]iz$ by ! =mation ( yell[i%1 circumscrib$1 irregul>ly-%ap$1 v>i\sly-siz$1 non-indurat$1 flat or rais$ pat*es or tub]cles4 ,"n ! two v>ieties met )4 ,! macul> or flat 7xan?oma planum7 & ! tub]cul> 7xan?oma tub]culatum or tub]osum74 ,9 "s in/ances bo? v>ieties 7xan?oma multiplex7 are se5 9 ! same individual4 ,describe ! cl9ical appe>ances ( xan?oma planum4 ,! macul> or flat v>iety is usually se5 ab\t ! eyelids4 ,x consi/s ( "o1 sev]al or m small or l>ge1 smoo?1 opaque1 %>ply-def9$1 (t5 slightly rais$1 yell[i% pat*es1 look+ n unlike pieces ( *amois-sk9 implant$ 9 ! sk94 ,describe ! cl9ical appe>ances ( xan?oma tub]osum4 ,! tub]cul> v>iety is commonly met ) ^u ! neck1 trunk & extremities4 ,x occurs z small1 rais$1 isolat$1 yell[i% nodules1 or z pat*es made up ( aggregations ( millet-se$-siz$ or l>g] tub]cles4 ,! lesions may be few or !y may exi/ 9 great numb]s4 ,:at is ! c\rse ( xan?oma8 ,extremely sl[2 aft] rea*+ a c]ta9 developm5t ! gr[?s may rema9 /ation>y4 ,/ate ! etiology ( xan?oma4 ,! causes are obscure4 ,jaundice n infrequ5tly prec$es & accompanies its developm5t1 especially 9 ! tub]cul> v>iety4 ,! disease is uncommon1 & is usually se5 9 middle & advanc$ life1 & m frequ5tly 9 wom54 ,9 "s cases 7xan?oma diabeticorum7 ( g5]al xan?oma diabetes is ! causative factor4 ,:at is ! pa?ology ( xan?oma8 ,x is a b5ign1 connective-tissue new gr[?1 ) concomitant or subsequ5t1 b usually p>tial1 fatty deg5]ation4 ,give ! prognosis ( xan?oma4 ,! condition is p]si/5t1 & usually irresponsive to all treatm5t save de/ructive or op]ative measures4 ,:at is ! treatm5t ( xan?oma8 ,treatm5t consi/s1 9 suitable cases1 ( excision2 9 "s in/ances1 electrolysis is s]viceable4 ,applications ( tri*loracetic acid cauti\sly made are sometimes ( value4 ,9 t =m ( g5]al xan?oma due to diabetes ! treatm5t ( ?is latt] condition w mat]ially & sometimes completely remove ! eruption4 ,myoma4 7,synonyms3 ,myoma ,cutis2 ,d]matomyoma2 ,liomyoma ,cutis47 ,describe myoma4 ,! disease is r>e1 & consi/s usually ( "o or sev]al 7exceptionally num]\s71 v>i\sly-siz$ tumors ( ! sk91 made up ( smoo? muscul> fibres4 ,!y are flat1 r\nd$1 oval or p$unculat$1 & h a smoo? surface & a pale-r$ color2 z a rule1 !y are pa9less4 ,! gr[? is b5ign1 & consi/s ess5tially ( a new =mation ( un/rip$ muscul> fibres2 b x may also be compos$ l>gely ( connective tissue 7fibromyoma72 or x may conta9 an abundance ( bloodvessels 7myoma telangiectodes1 angiomyoma72 or !re may be lymphatic involvem5t 7lymphangiomyoma74 ,angioma4 7,synonyms3 ,naevus ,vasculosus2 ,naevus ,sangu9eus47 ,give a def9ition ( angioma4 ,angioma is a cong5ital hyp]trophy ( ! vascul> tissues ( ! corium & subcutane\s tissue4 ,exceptionally x makes its appe>ance a few weeks or a mon? aft] bir?4 ,into :at two classes may angiomata be r\ghly gr\p$8 ,! flat 7or non-elevat$7 & ! prom95t 7or elevat$74 ,describe ! flat1 or non-elevat$1 v>iety ( angioma4 ,! flat1 or non-elevat$1 angioma 7naevus flammeus1 naevus simplex1 angioma simplex1 capill>y naevus7 may be p9-head- to bean-siz$2 or x may involve an area ( sev]al in*es 9 diamet]1 &1 exceptionally1 a :ole region4 ,x is ( a bright- or d>k-r$ color1 & is met ) mo/ frequ5tly ab\t ! face4 ,9 "s in/ances x ext5ds aft] bir?1 rea*es a c]ta9 size & !n rema9s /ation>y2 occasionally1 :5 involv+ a small area1 x und]goes involution & disappe>s4 ,! s-call$ port-w9e m>k is includ$ 9 ?is gr\p4 ,describe ! prom95t1 or elevat$1 v>iety ( angioma4 ,! prom95t v>iety 7v5\s noevus1 angioma cav]nosum1 noevus tub]osus7 is v>i\sly-siz$1 (t5 consid]ably elevat$1 cle>ly-def9$1 compressible1 smoo? or lobulat$1 & ( a d>k1 purple color2 x may1 also1 be erectile & pulsat+4 ,! gr[? is usually a s+le =mation1 & is met ) ^u all p>ts ( ! body4 ,:at is ! pa?ology ( angioma8 ,x is a new gr[?1 consi/+ ( a v>iable hyp]trophy ( ! cutane\s & subcutane\s art]ial & v5\s bloodvessels1 ) or )\t an increase ( ! connective tissue4 ,give ! treatm5t ( angioma4 ,9 "s in/ances1 especially 9 infants1 pa9t+ ! p>ts repeat$ly ) collodion or liquor plumbi subacetatis w act favorably4 ,= well-e/abli%$1 small1 capill>y naevi electrolysis or punctur+ ) a r$-hot ne$le or ) a ne$le *>g$ ) nitric acid may be employ$2 = port-w9e m>k frequ5t & closely contigu\s electrolytic punctures are occasionally foll[$ by a slight dim9ution 9 color4 ,= ! prom95t gr[?s1 vacc9ation1 ! ligature1 punctur+ ) ! galvano-caut]y1 & excision are v>i\sly resort$ to4 ,9 rec5t ye>s applications ( liquid air & c>bon dioxide h prov$ ( s]vice 9 "s cases4 ,telangiectasis4 ,describe telangiectasis4 ,telangiectasis consi/s ( a new gr[? or enl>gem5t ( ! cutane\s capill>ies1 usually appe>+ dur+ middle adult life1 & seat$1 = ! mo/ "p1 ab\t ! face4 ,to :at ext5t may telangiectasis develop8 ,x may be limit$ to a r$ dot or po9t1 ) sev]al small radiat+ capill>ies 7naevus araneus1 spid] naevus71 or a :ole region1 usually ! face1 may %[ num]\s scatt]$ or closely-set capill>y enl>gem5ts or new =mations 7rosacea74 ,! latt] is frequ5tly associat$ ) acne 7acne rosacea74 ,! etiology is obscure4 ,:at is ! treatm5t ( telangiectasis8 ,de/ruction ( ! vessels by electrolysis or by ! knife4 7,see treatm5t ( acne rosacea47 ,lymphangioma4 7,synonym3 ,lymphangiectodes47 ,describe lymphangioma4 ,lymphangioma is a r>e disease1 consi/+ ( localiz$ dilatations ( ! lymphatic vessels1 appe>+ z discrete or aggregat$ p9-head or pea-siz$1 compressible1 holl[1 tub]cle-l elevations1 ( a p9ki% or fa9t lilac color1 & occurr+ = ! mo/ "p ab\t ! trunk4 ,x is ( sl[ b usually progressive developm5t1 & is unaccompani$ by subjective symptoms4 ,a r>e condition1 ,kaposi describ$ z lymphangioma tub]osum multiplex1 *>act]iz$ by m or less solid1 some:at cy/ic1 pe>ly to p9ki% r$1 sometimes cr[d$ lesions1 is n[ kn[n to be b5ign cy/ic epi!lioma2 its mo/ common site is ! face4 ,:ile call$ b5ign1 ulc]ative action may ev5tually ensue4 ,treatm5t1 :5 dem&$1 consi/s ( op]ative measures4 ,rh9oscl]oma4 ,describe rh9oscl]oma4 ,rh9oscl]oma is a r>e & obscure disease1 sl[ b progressive 9 its c\rse1 *>act]iz$ by ! developm5t ( an irregul>1 d5se & h>d1 flatt5$1 tub]cul>1 non-ulc]at+1 cellul> new gr[?1 hav+ its seat ab\t ! nose & contigu\s p>ts4 ,! ov]ly+ sk9 is normal 9 color1 or x may be light- or d>k-br[n or r$di%4 ,m>k$ disfigurem5t & closure1 p>tial or complete1 ( ! nasal orifices gradually results4 ,x is met ) *iefly 9 ,au/ria & ,g]many4 ,treatm5t1 consi/+ ( p>tial or complete extirpation1 is r>ely p]man5t 9 its results1 ! disease t5d+ to recur4 ,lupus ,ery!matosus4 7,synonyms3 ,lupus ,ery!matodes2 ,lupus ,sebaceus2 ,seborrhoea ,conge/iva47 ,:at is lupus ery!matosus8 ,lupus ery!matosus may be r\ghly def9$ z a mildly to mod]ately inflammatory sup]ficial new-gr[? =mation1 *>act]iz$ by "o1 sev]al1 or m circumscrib$1 v>i\sly siz$ & %ap$1 p9ki% or d>k r$ pat*es1 cov]$ slightly1 & m or less irregul>ly1 ) adh]5t grayi% or yell[i% scales4 ,^u :at p>ts is lupus ery!matosus obs]v$8 ,its common site is ! face1 usually ! nose & *eeks1 ) a t5d5cy t[>d symmetry2 x is (t5 limit$ to ^! p>ts1 b may occasionally be se5 ^u o!r regions1 m especially ! lips1 e>s1 & scalp4 ,9 r>e in/ances a great "p ( ! g5]al surface may become involv$4 ,describe ! symptoms ( lupus ery!matosus4 ,usually ! disease beg9s z "o or sev]al r\nd$1 circumscrib$1 p9-head- to pea-siz$ lesions2 slightly scaly1 some:at elevat$1 & ( a p9ki%1 r$di% or violace\s color4 ,!y sl[ly1 or some:at rapidly1 increase 9 area1 & aft] atta9+ v>iable size rema9 /ation>y2 or !y may progress & coalesce1 & 9 ?is mann] soon] or lat] involve consid]able surface4 ,! pat*es are %>ply def9$ aga9/ ! s\nd sk9 by an elevat$ bord]1 :ile ! c5tral portion is some:at depress$ & usually atrophic4 ,m or less ?ick5+ & infiltration are obs]v$4 ,!re is no t5d5cy to ulc]ation4 ,! scal9ess is1 z a rule1 scanty4 ,! gl&-ducts are enl>g$1 patul\s or plugg$ ) sebace\s & epi!lial matt]4 ,! subjective symptoms ( burn+ & it*+ are usually slight & (t5 want+4 ,:at c\rse does lupus ery!matosus pursue8 ,z a rule1 ! disease is p]si/5t1 al?\gh some:at v>iable4 ,at times ! pat*es retrogress1 involution tak+ place ) or )\t slight sieve-l atrophy or sc>r+4 ,/ate ! causes ( lupus ery!matosus4 ,! etiology is obscure4 ,"s obs]v]s believe x to be a v>iety ( cutane\s tub]culosis4 ,x is ess5tially a disease ( adult & middle age2 is m common 9 wom51 & m frequ5t 9 ^? hav+ a t5d5cy to disord]s ( ! sebace\s gl&s4 ,x may1 9 fact1 beg9 z a seborrhoea4 ,:at is ! pa?ology8 ,x 0 =m]ly consid]$ a new gr[?1 b rec5t op9ion t5ds t[>d reg>d+ x z a *ronic inflammation ( ! cutis1 sup]9duc+ deg5]ative & atrophic *anges4 ,v>iable oedema ( ! prickle lay] & ( ! cutis is f\nd4 ,!re is no t5d5cy to pus =mation4 ,illu/ration3 ,fig4 #db4 ,lupus ,ery!matosus4 ,is !re any difficulty 9 ! diagnosis ( lupus ery!matosus8 ,z a rule1 n1 z ! features ( ! disease--! %>ply circumscrib$ outl9e1 ! r$di% or violace\s color1 ! elevat$ bord]1 ! t5d5cy to c5tral depression & atrophy1 ! plugg$ up or patul\s sebace\s ducts1 ! adh]5t grayi% or yell[i% scales1 toge!r ) ! region attack$ 7usually ! nose & *eeks7--are *>act]i/ic4 ,/ate ! prognosis ( lupus ery!matosus4 ,! disease is (t5 caprici\s & extremely rebelli\s to treatm5t2 "s cases1 up to a c]ta9 po9t at lea/1 yield readily1 & occasionally a t5d5cy to spontane\s disappe>ance is obs]v$2 a complete cure is1 h[ev]1 x mu/ be confess$1 r r>e4 ,! disease 9 n[ise compromises ! g5]al heal?4 ,9 ^? r>e in/ances ( g5]aliz$ disease ! pati5t has usually di$ f an int]curr5t tub]culosis4 ,h[ is lupus ery!matosus to be treat$8 ,! g5]al heal? is to be look$ aft] & sy/emic treatm5t prescrib$1 if indicat$4 ,z a rule1 con/itutional rem$ies ex]t little1 if any1 influ5ce1 b exceptionally1 cod-liv] oil1 ars5ic1 phosphorus1 salic91 qu99e1 or potassium iodide proves ( s]vice4 ,locally1 accord+ to ! case1 soo?+ rem$ies1 /imulat+ applications & de/ruction ( ! gr[? by cau/ics or op]ative measures are to be employ$4 7,try ! mild] applications fir/47 ,m5tion ! /imulat+ applications commonly employ$4 ,wa%+ ! p>ts en]getically ) t9cture ( sapo viridis1 r9s+ & apply+ a soo?+ o9tm5t1 su* z cold cream or vasel9e4 ,a lotion conta9+ z9c sulphate & potassium sulphuret ?or\ghly dabb$ on ! p>ts morn+ & ev5+3-- ,rx ,z9ci sulphatis1 ,potassii sulphurati1 4444 aa 444 drami-dramiv ,glyc]9ae1 444444444444444444444444444 m9imiv ,aquae1 44444444444444444444444444444444 f,oziv4 ,m4 ,! calam9e-&-z9c oxide lotion us$ 9 acute eczema is also (t5 extremely valuable4 ,lotions ( i*?yol & ( resorc91 five to sixty gra9s to ! ounce2 i*?yol 9 o9tm5t1 five- to tw5ty-p]-c5t4 /r5g?1 is also useful4 ,pa9t+ ! pat*es ) pure c>bolic acid2 repeat+ a day or two aft] ! cru/s h fall5 (f4 ,! cont9u\s application ( m]curial pla/]4 ,sulphur & t> o9tm5ts1 (fic9al /r5g? or weak5$ ) l>d1 & also ! foll[+3-- ,rx ,ol4 cad9i1 ,alcoholis1 ,saponis viridis1 44444 aa 444444 dramiiss4 ,m4 7,?is is to be rubb$ 91 9 small quantity1 once or twice daily1 & lat] a soo?+ rem$y appli$47 ,9 rec5t ye>s bo? ! x-ray & ,f9s5 light h be5 us$ ) v>iable success4 ,repeat$ applications ( ! high-frequ5cy curr5t1 ) ! vacuum electrode1 h also prov$ s]viceable4 ,cauti\s applications ( liquid air or c>bon dioxide h also be5 us$ ) "s success 9 ! pa/ few ye>s4 ,:5 are de/ructive & op]ative measures ju/ifiable8 ,9 ob/9ate1 sluggi%1 & long-p]si/5t pat*es1 & !n only aft] o!r me?ods ( treatm5t h fail$4 7,rememb] t a pat* or pat*es ( ! disease may disappe> 9 c\rse ( "t spontane\sly1 & occasionally )\t leav+ a sc>47 ,/ate ! me?ods ( treatm5t commonly us$ 9 ob/9ate1 sluggi% & p]si/5t pat*es ( lupus ery!matosus4 ,caut]ization--) nitrate ( silv]1 ) applications ( pyrogallic acid 9 o9tm5t or 9 liquor gutta-p]*ae1 fifte5 to ?irty p] c5t4 /r5g?1 & ) solutions 7cauti\sly employ$7 ( cau/ic pota%1 & exceptionally ) ! galvano-caut]y4 ,illu/ration3 ,fig4 #dc4 ,s+le ,sc>ifi]4 ,illu/ration3 ,fig4 #dd4 ,multiple ,sc>ifi]4 7,z modifi$ by ,van ,h>l+547 ,op]ative--sc>ification1 ei!r punctate or l9e>1 & erosion ) ! curette4 7,see treatm5t ( lupus vulg>is47 ,lupus ,vulg>is4 7,synonyms3 ,lupus2 ,lupus ,ex$5s2 ,lupus ,vorax2 ,tub]culosis ( ! ,sk947 ,:at d y und]/& by lupus vulg>is8 ,lupus vulg>is is a cellul> new gr[?1 *>act]iz$ by v>i\sly-siz$1 s(t1 r$di%-br[n1 papul>1 tub]cul> & infiltrat$ pat*es1 usually t]m9at+ 9 ulc]ation & sc>r+4 ,^u :at region is lupus vulg>is usually obs]v$8 ,! face1 especially ! nose1 b any "p may be invad$4 ,! area involv$ may be small or q ext5sive1 usually ! =m]4 ,at :at age is ! disease not$8 ,9 _m cases x beg9s 9 *ildhood or e>ly adult life1 b z x is p]si/5t & t5ds to relapse1 x may be met ) at any age4 ,describe ! e>li] symptoms ( lupus vulg>is4 ,! disease beg9s by ! developm5t ( sev]al or m p9-head to small pea-siz$1 deep-seat$1 br[ni%-r$ or yell[i% tub]cles1 hav+ _! seat 9 ! deep] "p ( ! corium1 & :i* are some:at s(t] & loos] 9 texture ?an normal tissue4 ,z ! disease progresses1 v>i\sly-siz$ & %ap$ aggregations or pat*es result1 cov]$ ) ?9 & imp]fectly-=m$ epid]mis4 ,:at *anges d ! lupus tub]cles or infiltrations und]go8 ,! lesions1 hav+ atta9$ a c]ta9 size or developm5t1 may rema9 s = a "t1 b soon] or lat] retrogressive *anges occur3 ! matur$ papules or tub]cles1 or infiltrat$ pat*es1 sl[ly disappe> by absorption1 fatty deg5]ation1 & exfoliation1 leav+ a yell[i% or br[ni% pigm5tation1 usually ) m or less atrophy or cicatricial-tissue =mation--lupus exfoliativus2 or dis9tegration & de/ruction result1 t]m9at+ 9 ulc]ation--lupus ex$5s1 lupus exulc]ans4 ,?is latt] is ! m usual c\rse4 ,describe ! cl9ical appe>ances & behavior ( ! lupus ulc]ations4 ,!y are r\nd$1 %all[ excavations1 ) s(t & r$di% bord]s4 ,9 exceptional in/ances exub]ant granulations appe>--lupus hyp]trophicus2 or papill>y outgr[?s are not$--lupus v]rucosus4 ,! ulc]ations secrete a v>iable am\nt ( pus1 usually slight 9 quantity1 :i* leads to m or less cru/ =mation2 lat]1 h[ev]1 cicatricial tissue1 g5]ally ( a firm & fibr\s "*1 results4 ,illu/ration3 ,fig4 #de4 ,lupus ( ,arm4 ,9 :at mann] does ! disease spread8 ,! pat*es spread by ! appe>ance ( new tub]cles1 or infiltrations at ! p]iph]al portion4 ,new islets & areas ( disease may cont9ue to make _! appe>ance f "t to "t1 usually ^u contigu\s p>ts4 ,are ! muc\s membranes ( ! m\?1 ?roat & l>ynx ev] involv$8 ,9 "s in/ances1 & ei!r prim>ily or second>ily4 ,illu/ration3 ,lupus ,vulg>is4 ,illu/ration3 ,lupus ,vulg>is4 ,is ! bone tissue ev] involv$ 9 lupus vulg>is8 ,no4 ,:at c\rse does lupus vulg>is pursue8 ,x is sl[ly b1 z a rule1 /eadily progressive4 ,sev]al ye>s or m may elapse be=e ! area ( disease is conspicu\s4 ,:at is ! cause ( lupus vulg>is8 ,x is n[ kn[n to be due to ! invasion ( ! cutane\s /ructures by ! tub]cle bacillus2 9 %ort1 a tub]culosis ( ! sk94 ,x is n infrequ5tly obs]v$ 9 ! /rum\s & debilitat$4 ,x is entirely indep5d5t ( syphilis4 ,:at is ! pa?ology ( lupus vulg>is8 ,accord+ to rec5t inve/igations1 ! infiltrations ( lupus are due *iefly to cell-prolif]ation & outgr[? f ! protoplasmic walls & adv5titia ( ! bloodvessels & lymphatics4 ,! fibr\s-tissue network1 vessels & a portion ( ! cell infiltration are ?us produc$1 ! fix$ & w&]+ connective-tissue cells ( ! inflam$ /roma ( ! cutis be+ responsible = ! o!r portion ( ! new gr[? 7,rob9son74 ,/ate ! diagno/ic features ( lupus vulg>is4 ,9 a typical1 develop$ pat* ( lupus are to be se53--cicatricial =mation1 usually ( a fibr\s & t\gh "*2 ulc]ations2 ! yell[i%-br[n tub]cles & infiltration2 & ! *>act]i/ic s(t1 small1 yell[i% or r$di%-br[n1 cutane\s & subcutane\s po9ts & tub]cles4 ,h[ does ! tub]cul> syphilod]m diff] f lupus vulg>is8 ,! tub]cul> syphilod]m is mu* m rapid 9 its c\rse1 ! ulc]ation is deep] & ! dis*>ge copi\s & (t5 (f5sive2 ! sc>r+ is s(t1 &1 comp>$ to ! am\nt ( ulc]ation1 b slightly disfigur+2 & x is1 = obvi\s reasons1 a disease ( adult or late life4 ,! hi/ory1 toge!r ) o!r evid5ces ( previ\s or concomitant symptoms ( syphilis1 w (t5 aid 9 ! diff]5tiation4 ,h[ does epi!lioma diff] f lupus vulg>is8 ,! edges ( ! epi!liomat\s ulc] are h>d1 elevat$ & waxy2 ! base is unev51 ! secretion ?91 scanty & apt to be /reak$ ) blood2 ! ulc]ation usually />ts f "o po9t1 & is (t5 pa9ful2 ! tissue de/ruction may be consid]able2 !re is little1 if any1 t5d5cy to ! =mation ( cicatricial tissue2 &1 f9ally1 x is usually a disease ( advanc$ age4 ,9 :at respects does lupus ery!matosus diff] f lupus vulg>is8 ,lupus ery!matosus has no papules1 tub]cles or ulc]ation4 ,h[ does acne rosacea diff] f lupus vulg>is8 ,acne rosacea is *>act]iz$ by hyp]aemia1 dilat$ vessels1 papules1 pu/ules1 ! abs5ce ( ulc]ation1 & a diff]5t hi/ory4 ,/ate ! prognosis ( lupus vulg>is4 ,lupus vulg>is is always a *ronic disease1 (t5 exce$+ly rebelli\s to treatm5t1 & "o t calls = a gu>d$ op9ion4 ,relapses are n uncommon4 ,illu/ration3 ,fig4 #df4 ,galvano-caut]y ,ne$le1 ,knife & ,spiral ,po9ts4 7,z devis$ by ,besni]47 ,! g5]al heal? usually rema9s good1 b 9 "s in/ances dea? by tub]culosis ( ! lungs has be5 not$4 ,is ext]nal or int]nal treatm5t call$ = 9 lupus vulg>is8 ,always ext]nal1 & n infrequ5tly con/itutional also4 ,:at is ! con/itutional treatm5t8 ,! g5]al heal? mu/ be c>$ =2 good1 nutriti\s food1 fre% air & out-door ex]cise1 toge!r )1 9 _m cases1 ! adm9i/ration ( su* rem$ies z cod-liv] oil1 potassium iodide1 iron & qu99e1 are ( !rapeutic importance4 ,tub]cul9 may be tri$ 9 sev]e & ob/9ate cases1 b its use is n )\t dang]4 ,/ate ! object ( local treatm5t4 ,! de/ruction or removal ( ! diseas$ tissue4 ,may mild] me?ods ( treatm5t sometimes prove b5eficial & ev5 curative8 ,exceptionally1 m]curial pla/]1 corrosive-sublimate lotion & o9tm5t 7gr4 j to ,ozj71 a pla/] conta9+ five to fifte5 p] c5t4 ( salicylic acid & creasote1 repeat$ pa9t+s ) c>bolic acid1 & ! con/ant application ( lead pla/] conta9+ tw5ty p] c5t4 ( i*?yol1 are valuable4 ,illu/ration3 ,fig4 #dg4 ,d\ble ,curette4 ,( ! mild] me?ods1 ^? mo/ 9 vogue to-day are ! ,f9s5 light & x-ray4 ,ei!r proves extremely valuable 9 "s cases1 b ! ,f9s5 me?od is ! favorite me?od4 ,:at me?ods are commonly employ$ = ! rapid removal or de/ruction ( lupus tissue8 ,caut]ization1 sc>ification1 erasion & excision are v>i\sly practis$2 ! p>ticul> me?od dep5d+1 9 great measure1 ^u ! ext5t ( ! disease1 ! "p involv$1 & o!r circum/ances4 ,"n ! sev]al cau/ics1 & /ate h[ !y are employ$4 ,pyrogallic acid1 us$ z an o9tm5t3-- ,rx ,ac4 pyrogallici1 444444444444444444444 dramij ,empla/4 plumbi1 444444444444444444444 dramj ,c]at4 res9sae1 4444444444444444444444 dramv4 ,m4 ,x is appli$ = "o or two weeks4 ,e sev]al days ! p>ts are p\ltic$1 ! sl\gh ?us remov$1 & ! o9tm5t reappli$1 & s on until ! diseas$ tissue has be5 de/roy$4 ,x is useful 9 ^? cases 9 :i* a mild & comp>atively pa9less cau/ic is advisable4 ,9 mo/ cases sev]al repetitions ( ?is plan are necess>y4 ,ars5i\s acid1 employ$ z an o9tm5t-- ,rx ,ac4 ars5iosi1 4444444444444444444444 gr4 xx ,hydr>g4 sulphid4 rub41 4444444444444 gr4 lx ,ungt4 aquae rosae1 44444444444444444444 ,ozi4--,m4 ,x is pa9ful b ?or\gh2 x is spread on l9t & r5ew$ daily4 ,! action is usually suffici5t 9 ?ree days1 & ! p>ts are !n p\ltic$ until ! sl\gh comes away1 aft] :i* a simple dress+ is employ$4 ,its application is advisable = a small area only--n m ?an f\r squ>e in*es--z absorption is possible4 ,galvano-caut]y4--,! diseas$ tissue is de/roy$ by num]\s punctures ) a r$-heat$ po9t or by l9e> incision ) a r$-heat$ knife4 ,x is (t5 a practicable & satisfactory me?od4 ,! ,paquel9 caut]y & liquid air & c>bon dioxide also h _! advocates4 ,describe ! op]ative measures employ$ 9 ! removal ( lupus tissue4 ,l9e> ,sc>ification4--,! p>ts are ?or\ghly cross-track$1 cutt+ ?r\gh ! diseas$ tissue1 & subsequ5tly a simple salicylat$ o9tm5t appli$4 ,! op]ation is repeat$ f "t to "t1 & z a result ! new gr[? und]goes retrogressive *anges1 & cicatrization takes place4 ,punctate ,sc>ification4--,by means ( a simple or multiple-po9t$ in/rum5t num]\s closely-set punctures are made1 & repeat$ f "t to "t1 usually ) ! same action & result z f l9e> sc>ification4 ,erasion4--,! p>ts are ?or\ghly scrap$ ) a curette1 & a supplem5t>y cau/ic application made1 ei!r ) cau/ic pota% or sev]al days' use ( ! pyrogallic-acid o9tm5t4 ,! result is usually satisfactory4 ,! d5tal-burr is also useful 9 break+ up discrete tub]cles4 ,excision4--,?is is an effective me?od if ! disease consi/s ( a small pea- or bean-siz$ circumscrib$ pat*4 ,( ^! v>i\s op]ative me?ods ^? n[ mo/ favor$ are erasion & excision1 punctate & l9e> sc>ification me?ods are n[ r>ely employ$4 ,tub]culosis ,cutis4,d 7,synonym3 ,scr(ulod]ma47 ,footnote ,d3 ,! mo/ important cl9ical v>iety ( ?is class is lupus vulg>is1 :i* is consid]$ above1 sep>ately1 at "s l5g?4 ,:at d y und]/& by tub]culosis cutis8 ,! t]m is appli$ to ^? peculi> suppurative & ulc]ative conditions ( ! sk9 due to ! tub]cle bacilli4 ,h[ does ! common type ( tub]culosis cutis beg98 ,! mo/ common type ( tub]cul\s ulc]ation or involvem5t ( ! sk9 usually results by ext5sion f an und]ly+ caseat+ & suppurat+ lymphatic gl&2 or x may h its orig9 z subcutane\s tub]cles indep5d5tly ( ^! /ructures4 ,x t5ds to spread1 & may involve an area ( "o or sev]al in*es4 ,illu/ration3 ,fig4 #dh4 ,tub]culosis ,v]rucosa ,cutis 7,negro74 ,:at are ! cl9ical appe>ances & behavior ( ?is type ( tub]cul\s ulc]ation8 ,x is usually sup]ficial1 has ?91 r$1 und]m9$ edges ( a violace\s color1 & an irregul> base ) granulations cov]$ scantily ) pus4 ,z a rule1 x spreads gradually z a simple ulc]ation1 ) b slight1 if any1 outly+ infiltration4 ,subjective symptoms ( a pa9ful or tr\blesome "* are r>ely pres5t4 ,its c\rse is usually progressive b sl[ & *ronic4 ,o!r symptoms ( tub]culosis are commonly to be f\nd4 ,are o!r =ms ( tub]culosis cutis met )8 ,a papulo-pu/ul> eruption is sometimes obs]v$1 especially on ! upp] extremities & face2 sluggi% & *ronic 9 "* & leav+ small pit-l sc>s2 has be5 kn[n z ! small pu/ul> scr(ulod]ma4 ,illu/ration3 ,fig4 #di4 ,tub]culosis ,v]rucosa ,cutis 7pati5t _h a coexi/5t pulmon>y tub]culosis74 ,an ulc]ative papillomat\s or v]ruc\s tub]culosis ( ! sk9 7tub]culosis v]rucosa cutis7 is also occasionally not$1 mo/ commonly seat$ ^u ! l[] leg or ! back ( ! h&4 ,x may be slight or ext5sive4 ,its milde/ phase is ! s-call$ v]ruca necrog5ica4 ,describe v]ruca necrog5ica4 ,v]ruca necrog5ica is a r>e1 localiz$1 papill>y or w>t-l =mation1 occurr+ usually ab\t ! knuckles or o!r p>ts ( ! h&4 ,x beg9s1 z a rule1 z a small1 papule-l gr[?1 increas+ gradually 9 area1 & :5 well advanc$ appe>s z a pea1 dime-siz$ or l>g]1 some:at inflammatory1 elevat$1 flat1 w>ty mass1 ) usually a t5d5cy to slight pus-=mation betwe5 ! hyp]trophi$ papillae2 ! surface may be horny or x may be cru/$4 ,x t5ds to enl>ge sl[ly & is usually p]si/5t1 b x at times und]goes involution4 ,illu/ration3 ,fig4 #ej4 ,tub]culosis ,cutis 7,v]ruca ,necrog5ica74 7,aft] ,model 9 ,guy's ,museum47 ,/ate ! etiology4 ,h]$ity1 insuffici5t & un:olesome food1 impure air1 & ! l are pr$ispos+4 ,! tub]cle bacillus is ! imm$iate excit+ cause4 ,! disease usually appe>s 9 *ildhood or e>ly adult life1 & n infrequ5tly foll[s 9 ! wake ( "s sev]e sy/emic disease4 ,etiologically x is id5tical 9 nature ) lupus4 ,h[ is ! tub]cul\s ulc] to be diff]5tiat$ f syphilis8 ,by ! peculi> "* ( ! tub]cul\s ulc]ation1 ! abs5ce ( outly+ tub]cles & infiltration1 toge!r ) its hi/ory1 c\rse1 & (t5 ! pres5ce ( o!r tub]cul\s symptoms4 ,/ate ! prognosis4 ,^! v>i\s types ( tub]culosis cutis are1 z a rule1 m am5able to treatm5t ?an t =m kn[n z lupus vulg>is 7q4 v474 ,:at is ! treatm5t ( ^! =ms ( tub]culosis cutis8 ,con/itutional rem$ies1 su* z cod-liv] oil1 iodide ( iron or o!r f]rug9\s tonics1 toge!r ) good food & pure air2 phosphorus "o-hundr$? to "o-fiftie? ( a gra9 ?ree times daily is also ( b5efit 9 "s cases4 ,! local treatm5t consi/s 9 ?or\gh curett+ & ! subsequ5t application ( a mildly /imulat+ o9tm5t4 ,! sev]al o!r plans ( ext]nal treatm5t employ$ 9 lupus 7q4 v47 are also v>i\sly practis$4 ,9 rec5t ye>s ! x-ray & ,f9s5 light plans h1 9 a measure1 supplant$ ! previ\s me?ods ( treatm5t4 ,!y are sl[1 h[ev]1 & might be1 especially ! x-ray1 m satisfactorily employ$ z a supplem5t>y measure4 ,a9hum4 ,describe a9hum4 ,a9hum is a disease ( ! ,african race1 met ) *iefly 9 ,brazil1 ! ,we/ ,indies1 & ,africa1 & consi/s ( a sl[ b gradual l9e> /rangulation ( "o or m ( ! toes1 especially ! smalle/1 result+1 ev5tually1 9 spontane\s amputation4 ,! affect$ toes !mselves und]go fatty deg5]ation1 (t5 ) increase 9 size1 & are1 :5 /rangulation is well advanc$1 consid]ably mis%ap54 ,! nature ( ! disease is obscure4 ,treatm5t consi/s1 9 ! e>ly /ages1 ( incision ?r\gh ! con/rict+ b&2 :5 ! disease is well advanc$1 amputation is ! sole rec\rse4 ,mycetoma4 7,synonyms3 ,fung\s ,foot ( ,india2 ,madura ,foot2 ,podelcoma47 ,decribe mycetoma4 ,x is a disease involv+ usually ! foot1 & is met ) *iefly 9 ,india4 ,x is *>act]iz$ by swell+ & ! =mation ( tub]cul> or nodul> lesions :i* break d[n & =m ! ext]nal op5+s ( s9uses :i* lead to ! int]ior ( ! affect$ "p4 ,^! dis*>ge1 & are /udd$ )1 :iti% granules or black1 roe-l masses1 mix$ ) a sani\s or s]o-purul5t fluid4 ,! :ole "p is gradually dis9tegrat$1 ! process la/+ indef9itely4 ,its nature is obscure2 x is ?\ght to be due to a fungus4 ,treatm5t consi/s 9 ! e>ly /ages1 :5 ! disease is limit$1 ( ?or\gh curett+ & caut]ization2 lat]1 aft] ! "p is m or less involv$1 amputation1 at a po9t well up beyond ! disease1 becomes necess>y4 ,potassium iodide int]nally may ex]t a favorable influ5ce4 ,p]=at+ ,ulc] ( ! ,foot4 ,describe p]=at+ ulc] ( ! foot4 ,p]=at+ ulc] ( ! foot is a r>e disease1 consi/+ ( an indol5t & usually pa9less s9us lead+ d[n to diseas$ bone4 ,! ext]nal op5+1 :i* is ?r\gh ! c5tre ( a corn-l =mation1 is small1 & may or may n %[ ! pres5ce ( granulations4 ,! affect$ "p is commonly m or less anae/hetic & ( subnormal temp]ature4 ,"o or sev]al may be pres5t1 ei!r on "o or bo? feet4 ,! mo/ common site is ov] ! articulation ( ! metat>sal bone ) ! phalanx ( ! fir/ or la/ toe4 ,! disease is dep5d5t ^u impairm5t or deg5]ation ( ! c5tral1 truncal or p]iph]al n]ves4 ,:at is to be said 9 reg>d to ! prognosis & treatm5t8 ,treatm5t1 :i* is1 z a rule1 unsatisfactory1 consi/s 9 ! ma9t5ance ( absolute re/1 & ! use ( antiseptic & /imulat+ applications4 ,amputation is also resort$ to1 b ev5 ?is is at times futile1 z a new s9us may appe> ^u ! /ump4 ,syphilis ,cutanea4 7,synonyms3 ,syphilod]ma2 ,d]matosyphilis2 ,syphilis ( ! ,sk947 ,9 :at v>i\s types may syphilis manife/ itself ^u ! integum5t8 ,syphilis may %[ itself z a macul>1 papul> 7r>ely vesicul>71 pu/ul>1 bull\s1 tub]cul> & gummat\s eruption2 or ! eruption may be1 9 a measure1 ( a mix$ type4 ,9 :at respects d ! e>ly 7or second>y7 eruptions ( syphilis diff] f ^? foll[+ sev]al ye>s or m aft] ! contraction ( ! disease8 ,! e>ly or second>y eruptions are m or less g5]aliz$1 ) r>ely any attempt at special configuration4 ,_! appe>ance is (t5 prec$$ by symptoms ( sy/emic di/urbance1 su* z fev]1 loss ( appetite1 muscul> pa9s & heada*e2 & accompani$ by concomitant signs ( ! disease1 su* z enl>gem5t ( ! lymphatic gl&s1 sore ?roat1 muc\s pat*es1 fall+ ( ! hair & rheumatic pa9s4 ,/ate ! di/+ui%+ *>act]s ( ! late eruptions4 ,! late eruptions 7^? foll[+ "o or m ye>s aft] ! contraction ( ! disease7 are usually ( tub]cul>1 gummat\s or ulc]ative type2 are limit$ 9 ext5t1 & h a m>k$ t5d5cy to appe> 9 circul>1 semicircul> or cresc5tic =ms or gr\ps4 ,pa9 9 ! bones1 bone lesions & o!r symptoms may or may n be pres5t4 ,:at is ! color ( syphilitic lesions8 ,usually1 a dull br[ni%-r$ or ham-r$1 ) at times a yell[i% ca/4 ,are !re any subjective symptoms 9 syphilitic eruptions8 ,z a rule1 no2 b 9 exceptional in/ances ( ! g5]aliz$ eruptions1 m especially 9 negroes1 !re may be slight it*+4 ,describe ! macul>1 or ery!mat\s1 eruption ( syphilis4 ,! macul> syphilod]m is a g5]al eruption1 %[+ itself usually six or eight weeks aft] ! appe>ance ( ! *ancre4 ,x consi/s ( small or l>ge1 commonly pea- or bean-siz$1 r\nd$ or irregul>ly-%ap$1 n infrequ5tly slightly rais$1 macules4 ,:5 well e/abli%$ !y d n entirely disappe> "u pressure4 ,at fir/ a pale-p9k or dull1 violace\s r$1 !y lat] become yell[i% or copp]y4 ,! eruption is g5]ally pr(use2 ! face1 backs ( ! h&s & feet may escape4 ,x p]si/s sev]al weeks or "o or two mon?s2 z a rule1 x is rapidly responsive to treatm5t4 ,h[ w\ld y di/+ui% ! macul> syphilod]m f measles1 roe!ln & t9ea v]sicolor8 ,measles is to be diff]5tiat$ by its cat>rhal symptoms1 fev]1 =m & situation ( ! eruption2 roe!ln1 by its small1 r\ndi%1 conflu5t p9ki% or r$di% pat*es1 its precursory pyrexic symptoms1 its epidemic nature1 & %ort duration2 t9ea v]sicolor by its scal9ess1 p]iph]al gr[?1 di/ribution & hi/ory4 ,&1 f9ally1 by ! abs5ce or pres5ce ( o!r symptoms ( syphilis4 ,illu/ration3 ,fig4 #ea4 ,macul> ,syphilod]m4 ,:at sev]al v>ieties ( ! papul> eruption ( syphilis are met )8 ,!re are two =ms ( ! papul> eruption--! small & l>ge2 ^? ( ! latt] type may und]go v>i\s modifications4 ,describe ! small-papul> eruption ( syphilis4 ,! small-papul> syphilod]m 7mili>y papul> syphilod]m7 usually %[s itself 9 ! ?ird or f\r? mon? ( ! disease1 & consi/s ( a m or less g5]aliz$ eruption ( dissem9at$ or gr\p$1 firm1 r\nd$ or acum9at$ p9-head to millet-se$-siz$ papules1 ) smoo? or slightly scaly summits1 & 9 "s lesions %[+ po9t$ pu/ulation4 ,scatt]$ m9ute pu/ules & "s l>ge papules are usually pres5t4 ,! eruption is pr(use1 mo/ abundant ^u ! trunk & limbs2 & 9 ! e>ly "p ( ! outbreak is ( a bright- or dull-r$ color1 lat] assum+ a violace\s or br[ni% t9t4 ,x runs a *ronic c\rse1 is some:at rebelli\s to treatm5t1 & displays a t5d5cy to relapse4 ,illu/ration3 ,fig4 #eb4 ,moi/ ,papules4 7,aft] ,mill]47 ,h[ w\ld y di/+ui% ! small-papul> syphilod]m f k]atosis pil>is1 psoriasis punctata1 papul> eczema1 & li*5 rub]8 ,! di/ribution & ext5t ( ! eruption1 ! color1 ! gr\p+1 ) usually ! pres5ce ( pu/ules & l>ge papules & o!r concomitant symptoms ( syphilis1 are po9ts ( diff]5ce4 ,pu/ules nev] occur 9 ! sev]al diseases nam$1 except 9 eczema4 ,describe ! l>ge-papul> eruption ( syphilis4 ,! l>ge-papul> syphilod]m 7or l5ticul> syphilod]m7 is a common =m ( cutane\s syphilis1 appe>+ usually 9 ! fir/ six or eight mon?s1 & consi/s ( a m or less g5]aliz$ eruption ( pea- to dime-siz$ or l>g]1 flat1 r\nd$ or oval1 firmly seat$1 m or less rais$1 dull-r$ papules2 ) at fir/ a smoo? surface1 :i* lat] usually becomes cov]$ ) a film ( exfoliat+ epid]mis4 ,! papules1 z a rule1 develop sl[ly1 rema9 /ation>y sev]al weeks or a few mon?s1 & !n pass away by absorption1 leav+ slight pigm5tation1 :i* gradually fades2 or !y may und]go c]ta9 modifications4 ,9 mo/ cases x responds rapidly to treatm5t4 ,illu/ration3 ,small-papul> ,syphilod]m4 ,illu/ration3 ,fig4 #ec4 ,palm> ,syphilod]m4 ,:at modifications d ! papules ( ! l>ge-papul> syphilod]m sometimes und]go8 ,!y may *ange into ! moi/ papule & squam\s papule4 ,describe ! moi/ papule ( syphilis4 ,! *ange into ! moi/ papule 7also call$ muc\s pat*1 flat condyloma7 is n uncommon :]e oppos+ surfaces & natural folds ( sk9 are subject$ to m or less contact1 z ab\t ! anus1 ! scroto-femoral regions1 umbilicus1 axillae & b5ea? ! mammae4 ,! dry1 flat papules gradually become moi/ & cov]$ ) a grayi%1 /icky1 mucoid secretion2 sev]al may coalesce & =m l>ge1 flat pat*es4 ,!y may s rema91 or !y may become hyp]trophic1 w>ty or papillomat\s1 ) m or less cru/ =mation 7vegetat+ syphilod]m74 ,illu/ration3 ,fig4 #ed4 ,annul> ,syphilod]m4 7,aft] ,i4,e4 ,atk9son47 ,describe ! squam\s papule ( syphilis4 ,?is t5d5cy ( ! l>ge-papul> eruption to become scaly1 :5 exhibit$1 is m or less common to all papules1 & con/itutes ! squam\s or papulo-squam\s syphilod]m 7improp]ly call$ psoriasis syphilitica74 ,! papules become some:at flatt5$ & are cov]$ ) dry1 grayi% or dirty-gray1 some:at adh]5t scales4 ,! scal+1 z comp>$ to t ( psoriasis1 is1 z a rule1 relatively slight4 ,! eruption may be g5]al1 z usually ! case 9 ! e>li] mon?s ( ! disease1 or x may appe> z a relapse or a lat] manife/ation1 & be limit$ 9 ext5t4 ,z a limit$ eruption x is mo/ frequ5tly se5 on ! palms & soles--! palm> & plant> syphilod]m4 ,occurr+ on ^! p>ts x is (t5 rebelli\s to treatm5t4 ,illu/ration3 ,maculo-papul> syphilod]m4 ,h[ are y to di/+ui% ! papulo-squam\s syphilod]m f psoriasis8 ,9 psoriasis ! eruption is m inflammatory1 & usually bright r$2 ! scales :iti% or pe>l-color$ &1 z a rule1 abundant4 ,x is g5]ally se5 9 great] pr(usion ^u c]ta9 p>ts1 z1 = in/ance1 ! ext5sor surfaces1 especially ( ! elb[s & knees4 ,x is n infrequ5tly it*y1 &1 moreov]1 pres5ts a diff]5t hi/ory4 ,9 ! syphilitic eruption "s ( ! papules almo/ inv>iably rema9 p]fectly free f any t5d5cy to scale =mation2 !re is di/9ct deposit or infiltration1 & ! lesions are ( a d>k1 sluggi% r$ or ham t9t2 &1 moreov]1 concomitant symptoms ( syphilis are usually pres5t4 ,describe ! annul> eruption ( syphilis4 ,! annul> syphilod]m 7circ9ate syphilod]m7 is obs]v$ usually 9 association ) ! l>ge-papul> eruption1 & consi/s ( sev]al or m v>i\sly siz$1 r+-l lesions1 ) a di/9ctly elevat$ solid ridge or wall p]iph]ally & a m or less flatt5$ c5tre4 ,x is commonly se5 ab\t ! m\?1 =ehead & neck4 ,! lesion appe>s to h its orig9 f an ord9>y1 usually scaleless or slightly scaly1 l>ge papule1 ! c5tral portion ( :i* has be5 incompletely =m$ or has become sunk5 & flatt5$4 ,! manife/ation is r>e1 & is se5 mo/ frequ5tly 9 ! negro4 ,:at sev]al v>ieties ( ! pu/ul> syphilod]m are met )8 ,! small acum9at$-pu/ul> syphilod]m1 ! l>ge acum9at$-pu/ul> syphilod]m1 ! small flat-pu/ul> syphilod]m1 & ! l>ge flat-pu/ul> syphilod]m4 ,describe ! small acum9at$-pu/ul> eruption ( syphilis4 ,! small acum9at$-pu/ul> syphilod]m 7mili>y pu/ul> syphilod]m7 is an e>ly or late second>y eruption1 commonly enc\nt]$ 9 ! fir/ six or eight mon?s ( ! disease4 ,x consi/s ( a m or less g5]aliz$1 dissem9at$ or gr\p$1 millet-se$-siz$1 acum9at$ pu/ules1 usually seat$ ^u dull-r$1 papul> elevations4 ,! eruption is1 z a rule1 pr(use1 & usually involves ! hair-follicles4 ,! pu/ules dry to cru/s1 :i* fall (f & are (t5 foll[$ by a slight1 fr+e-l exfoliation ar\nd ! base1 con/itut+ a grayi% r+ or coll>4 ,m9ute p9-po9t atrophic depressions or /a9s are left1 :i* gradually become less di/9ct4 ,scatt]$ l>ge pu/ules1 & sometimes papules1 are n infrequ5tly pres5t4 ,describe ! l>ge acum9at$-pu/ul> eruption ( syphilis4 ,! l>ge acum9at$-pu/ul> syphilod]m 7acne-=m syphilod]m1 v>iola-=m syphilod]m7 is a m or less g5]aliz$ eruption1 occurr+ usually 9 ! fir/ six or eight mon?s ( ! disease4 ,x consi/s ( small or l>ge pea-siz$1 dissem9at$ or gr\p$1 acum9at$ or r\nd$ pu/ules1 resembl+ ! lesions ( acne & v>iola4 ,!y develop sl[ly or rapidly1 & at fir/ may appe> m or less papul>4 ,!y dry to some:at ?ick cru/s1 & are seat$ ^u sup]ficially ulc]at$ bases4 ,x pursues1 z a rule1 a comp>atively rapid & b5ign c\rse4 ,9 relapses ! eruption is usually m or less localiz$4 ,h[ w\ld y di/+ui% ! l>ge acum9at$-pu/ul> syphilod]m f acne & v>iola8 ,9 acne ! usual limitation ( ! lesions to ! face or face & %\ld]s1 ! orig91 m rapid =mation & evolution ( ! individual lesions1 & ! *ronic "* ( ! disease1 are usually di/9ctive po9ts4 ,9 v>iola1 ! int5sity ( ! g5]al symptoms1 ! %ot-l beg9n+ ( ! lesions1 _! c\rse1 ! umbilication1 & ! def9ite duration1 are to be consid]$4 ,! pres5ce or abs5ce ( o!r symptoms ( syphilis has1 9 obscure cases1 an important diagno/ic be>+4 ,describe ! small flat-pu/ul> eruption ( syphilis4 ,! small flat-pu/ul> syphilod]m 7impetigo-=m syphilod]m7 consi/s ( a m or less g5]aliz$1 pea-siz$1 flat or rais$1 discrete1 irregul>ly-gr\p$1 or 9 places conflu5t1 pu/ules1 appe>+ usually 9 ! fir/ ye> ( ! disease4 ,! pu/ules dry rapidly to yell[1 gre5i%-yell[1 or br[ni%1 m or less adh]5t1 ?ick1 unev51 some:at granul> cru/s1 b5ea? :i* !re may be sup]ficial or deep ulc]ation2 :]e ! lesions are conflu5t a cont9u\s %eet ( cru/+ =ms4 ,! eruption is (t5 scanty4 ,x is mo/ frequ5tly obs]v$ ab\t ! nose1 m\?1 hairy p>ts ( ! face & scalp1 & ab\t ! g5italia1 frequ5tly 9 association ) papules on o!r p>ts4 ,are y likely to mi/ake ! small flat-pu/ul> syphilod]m = any o!r eruption8 ,sc>cely2 b :5 ^u ! scalp1 x may be> r\gh resemblance to pu/ul> eczema1 b ! erosion or ulc]ation w s]ve to diff]5tiate4 ,moreov]1 concomitant symptoms ( syphilis are to be look$ =4 ,describe ! l>ge flat-pu/ul> eruption ( syphilis4 ,! l>ge flat-pu/ul> syphilod]m 7ec?yma-=m syphilod]m7 consi/s ( a m or less g5]aliz$1 scatt]$ eruption1 ( l>ge pea- or dime-siz$1 flat pu/ules4 ,!y dry rapidly to cru/s4 ,! bases ( ! lesions are a deep-r$ or copp] color4 ,two types ( ! eruption are met )4 ,9 "o type--! sup]ficial v>iety--! cru/ is flat1 r\nd$ or ovali%1 ( a yell[i%-br[n or d>k-br[n color1 & seat$ ^u a sup]ficial erosion or ulc]4 ,! lesions are usually num]\s1 & mo/ abundant on ! back1 %\ld]s & extremities4 ,x appe>s1 z a rule1 )9 ! fir/ ye>1 & g5]ally runs a b5ign c\rse4 ,illu/ration3 ,fig4 #ee4 ,rupia4 7,aft] ,tilbury ,fox47 ,9 ! o!r type--! deep v>iety--! cru/ is gre5i% or blacki%1 is rais$ & m bulky1 (t5 conical & /ratifi$1 l an oy/] %ell--rupia2 b5ea? ! cru/s may be se5 r\nd$ or irregul>-%ap$ ulc]s1 hav+ a gre5i%-yell[1 puri=m secretion4 ,x is usually a late & malignant manife/ation4 ,h[ w\ld y diff]5tiate ! l>ge flat-pu/ul> syphilod]m f ec?yma8 ,! syphilitic lesions are m num]\s1 are scatt]$1 are att5d$ ) sup]ficial or deep ulc]ation1 & foll[$ by m or less sc>-=mation4 ,moreov]1 ! hi/ory1 & pres5ce or abs5ce ( o!r symptoms ( syphilis h an important diagno/ic value4 ,illu/ration3 ,fig4 #ef4 ,ulc]at+ ,tub]cul> ,syphilod]m4 ,describe ! bull\s eruption ( syphilis4 ,! bull\s syphilod]m1 7( acquir$ syphilis7 is a r>e & usually late eruption1 appe>+ 9 ! =m ( discrete1 dissem9at$1 r\nd$ or ovali%1 pea- to walnut-siz$1 p>tially or fully di/5d$1 blebs4 ,! s]\s cont5ts soon become cl\dy & puri=m4 ,9 "s cases ! lesions are di/9ctly pu/ul> f ! beg9n+4 ,! cru/1 :i* soon =ms1 is ( a yell[i%-br[n or d>k gre5 color1 & may be ?ick & /ratifi$ 7rupia71 z 9 ! deep v>iety ( ! l>ge flat-pu/ul> syphilod]m4 ,! erosions or ulc]s b5ea? ! cru/s secrete a gre5i%-yell[ fluid4 ,x is a malignant type ( eruption1 & is usually se5 9 brok5-d[n subjects4 ,x is n an uncommon manife/ation ( h]$it>y syphilis 7q4 v47 9 ! newborn4 ,illu/ration3 ,fig4 #eg4 ,tub]cul> ,syphilod]m4 ,h[ is ! bull\s syphilod]m to be diff]5tiat$ f o!r pemphigoid eruptions8 ,by ! gravity ( ! disease1 ! accompany+ ulc]ation1 ! c\rse & hi/ory2 & by o!r evid5ces1 pa/ or pres5t1 ( syphilis4 ,describe ! tub]cul> eruption ( syphilis4 ,! tub]cul> syphilod]m 7syphilod]ma tub]culosum7 may exceptionally occur )9 ! fir/ ye> z a m or less g5]aliz$ eruption4 ,z a rule1 h[ev]1 x is a late manife/ation1 at times appe>+ _m ye>s aft] ! initial lesion2 is limit$ 9 ext5t1 & %[s a decid$ t5d5cy to occur 9 gr\ps1 (t5 =m+ segm5ts ( circles & circul> areas1 cle>+ 9 ! c5tre & spread+ p]iph]ally4 ,x consi/s 7z a late1 limit$ manife/ation7 ( sev]al or m firm1 circumscrib$1 deeply-seat$1 smoo?1 gli/5+ or slightly scaly elevations2 r\nd$ or acum9at$ 9 %ape1 ( a yell[i%-r$1 br[ni%-r$ or copp]y color & usually ( ! size ( small or l>ge peas4 ,sev]al gr\ps may coalesce1 & a s]pig9\s tract result 7s]pig9\s tub]cul> syphilod]m74 ,! lesions develop sl[ly1 & are sluggi% 9 _! c\rse1 rema9+1 at times1 = weeks or mon?s1 ) b little *ange4 ,z a rule1 h[ev]1 !y t]m9ate soon] or lat]1 ei!r by absorption1 leav+ a m or less p]man5t pigm5t /a9 ) or )\t slight atrophy 7non-ulc]at+ tub]cul> syphilod]m71 or by ulc]ation 7ulc]at+ tub]cul> syphilod]m74 ,illu/ration3 ,fig4 #eh4 ,ulc]at+ ,tub]cul> ,syphilod]m4 ,describe ! ulc]at+ tub]cul> syphilod]m4 ,! ulc]ation may be sup]ficial or deep 9 "*1 & involve sev]al or all ( ! lesions =m+ ! gr\p4 ,! pat* may consi/1 !re=e1 ( small1 discrete1 pun*$-out ulc]s1 or ( "o or m cont9u\s ulc]s1 segm5t$1 cresc5tic or s]pig9\s 9 %ape4 ,!y are cov]$ ) a gummy1 grayi%-yell[ deposit or !y may be cru/$4 ,z ! ulc]ative *anges take place1 new lesions1 especially ab\t ! p]iph]y ( ! gr\p or pat*1 may appe> f "t to "t4 ,illu/ration3 ,tub]cul> ,syphilod]m4 ,illu/ration3 ,l>ge-pu/ul> ,syphilod]m4 ,9 "s in/ances1 m especially ab\t ! scalp1 ! surface ( ! ulc]ations becomes papill>y or w>t-l1 ) an (f5sive1 yell[i%1 puri=m secretion 7syphilis cutanea papillomatosa74 ,f :at diseases is ! tub]cul> syphilod]m to be diff]5tiat$8 ,f tub]cul> leprosy1 epi!lioma & lupus vulg>is1 especially ! la/-nam$4 ,:at are ! *ief diagno/ic *>act]s ( ! tub]cul> syphilod]m8 ,! t5d5cy to =m segm5ts1 cresc5ts & circles1 ! color1 ! pigm5tation & ulc]ation1 ! hi/ory1 & n infrequ5tly m>ks or sc>s ( =m] eruptions4 ,illu/ration3 ,fig4 #ei4 ,tub]cul> ,syphilod]m4 ,describe ! gummat\s eruption ( syphilis4 ,! gummat\s syphilod]m 7syphilod]ma gummatosum1 gumma1 syphiloma7 is usually a late manife/ation1 %[+ itself z "o1 sev]al or m pa9less or slightly pa9ful1 r\nd$ or flat1 m or less circumscrib$ tumors2 !y are slightly rais$1 mod]ately firm1 & h _! seat 9 ! subcutane\s tissue4 ,!y t5d to break d[n & ulc]ate4 ,! lesion beg9s usually z a pea-siz$ deposit or infiltration1 & gr[s sl[ly or rapidly2 :5 fully develop$ x may be ! size ( a walnut1 or ev5 l>g]4 ,! ov]ly+ sk9 becomes gradually r$di%4 ,at fir/ firm1 x is lat] s(t & d\ghy4 ,x may1 ev5 :5 well advanc$1 disappe> by absorption1 b usually t5ds to break d[n1 t]m9at+ 9 a small or l>ge1 deep1 pun*$-out ulc]4 ,illu/ration3 ,fig4 #fj4 ,tub]cul> ,syphilod]m4 ,does ! gummat\s syphilod]m inv>iably appe> z a r\nd$ well-def9$ tumor8 ,no4 ,exceptionally1 in/ead ( a well-def9$ tumor1 x may appe> z a m or less diffus$ pat* ( infiltration1 lead+ ev5tually to ext5sive sup]ficial or deep ulc]ation4 ,f :at =mations is ! gummat\s syphilod]m to be diff]5tiat$8 ,f furuncle1 abscess1 & sebace\s1 fatty & fibroid tumors4 ,att5tion to ! orig91 c\rse1 & behavior ( ! lesion1 toge!r ) a hi/ory1 mu/ all be consid]$ 9 d\btful cases4 ,illu/ration3 ,fig4 #fa4 ,l>ge ,pu/ul> ,syphilod]m4 ,:at is to be said 9 reg>d to ! "* & "t ( appe>ance ( ! cutane\s manife/ations ( h]$it>y syphilis8 ,9 a great measure ! cutane\s manife/ations ( h]$it>y syphilis are ess5tially ! same z obs]v$ 9 acquir$ syphilis4 ,!y are usually not$ to occur )9 ! fir/ ?ree mon?s ( extra-ut]9e life4 ,! macul>1 papul>1 & bull\s eruptions are mo/ common4 ,describe ^! sev]al cutane\s manife/ations ( h]$it>y syphilis4 ,! macul> 7ery!mat\s7 eruption beg9s z l>ge or small1 bright- or d>k-r$ macules1 lat] pres5t+ a ham or cafe-au-lait appe>ance4 ,at fir/ !y disappe> ^u pressure4 ,! lesions are m or less num]\s1 usually become conflu5t1 especially ab\t ! folds ( ! neck1 ab\t ! g5italia & buttocks2 9 ^! regions resembl+ some:at ery!ma int]trigo4 ,! papul> eruption is obs]v$ 9 conjunction ) ! ery!mat\s manife/ation1 or x occurs alone4 ,! lesions are b slightly elevat$1 & seem to p>take ( ! nature ( bo? macules & papules4 ,!y are usually discrete1 & r>ely abundant2 !y may become deck$ ) a film-l scale1 & at ! v>i\s po9ts ( junction ( sk9 & muc\s membrane1 & 9 ! folds1 !y become abrad$ & mac]at$1 develop+ into moi/ papules4 ,! bull\s eruption consi/s ( v>i\sly-siz$1 m or less purul5t blebs1 & is usually met ) at or imm$iately foll[+ bir?4 ,x is mo/ abundant ab\t ! h&s & feet4 ,macules & papules are (t5 int]sp]s$4 ,!re may be sup]ficial or deep ulc]ation und]ly+ ! bullae4 ,:at o!r symptoms 9 addition to ! cutane\s manife/ations are not$ 9 h]$it>y syphilis 9 ! newborn8 ,muc\s pat*es1 & sometimes ulc]s1 9 ! m\? & ?roat2 ho>s5ess1 z %[n by ! peculi> cry1 & indicat+ involvem5t ( ! l>ynx2 snuffles1 a sall[ & dirty appe>ance ( ! sk91 loss ( fle% & (t5 a %rivel$ or s5ile look4 ,:at is ! pa?ology ( cutane\s syphilis8 ,! syphilitic deposit consi/s ( r\nd-cell infiltration4 ,! muc\s lay]1 ! corium1 & 9 ! deep lesions ! subcutane\s connective tissues also1 are involv$ 9 ! process4 ,! infiltration disappe>s by absorption or ulc]ation4 ,! factor n[ believ$ to be responsible = ! disease & ! pa?ological *anges is ! ,spiro*aeta pallida1 discov]$ by ,s*aud9n & ,h(fmann1 & usually f\nd 9 numb]s 9 ! tissues4 ,give ! prognosis ( cutane\s syphilis4 ,9 acquir$ syphilis1 favorable2 soon] or lat]1 unless ! :ole sy/em is s pr(\ndly affect$ by ! syphilitic poison t a fatal end+ ensues1 ! cutane\s manife/ations disappe>1 ei!r spontane\sly or z ! result ( treatm5t4 ,! e>li] eruptions w (t5 pass away )\t m$ication1 b treatm5t is ( mat]ial aid 9 mod]at+ _! sev]ity & ha/5+ _! disappe>ance1 & is to be look$ ^u z ess5tial2 9 ! late syphilod]mata treatm5t is indisp5sable4 ,9 ! l>ge pu/ul>1 ! tub]cul> & gummat\s lesions1 consid]able de/ruction ( tissue may take place1 & 9 consequ5ce sc>r+ result4 ,ill-heal? f any cause pr$isposes to a relapse1 & also adds to ! gravity ( ! case4 ,9 h]$it>y infantile syphilis1 ! prognosis is always unc]ta93 ! m di/ant f ! "t ( bir? ! manife/ations appe> ! m favorable usually is ! outcome4 ,h[ is cutane\s syphilis to be treat$8 ,always ) con/itutional rem$ies2 & 9 ! grav] eruptions1 & especially 9 ^? m or less limit$1 ) local applications also4 ,:at con/itutional & local rem$ies are commonly employ$ 9 cutane\s syphilis8 ,con/itutional ,rem$ies4--,m]cury & potassium iodide2 tonics & nutri5ts are necess>y 9 "s cases4 ,local ,rem$ies4--,m]curial o9tm5ts1 lotions & ba?s1 & iodol 9 o9tm5t or 9 7& also calomel7 p[d] =m4 ,give ! con/itutional treatm5t ( ! e>li]1 or second>y1 eruptions ( syphilis4 ,9 second>y or e>ly eruptions m]cury alone 9 almo/ e case2 ) tonics1 if call$ =4 ,if m]cury is contra9dicat$ 7extremely r>e71 potassium iodide may be sub/itut$4 ,h[ is m]cury usually adm9i/]$ 9 ! eruptions ( second>y syphilis8 ,by ! m\?1 *iefly z ! protiodide1 calomel & blue mass1 9 dosage j %ort ( mild physiological action2 by inunction1 9 ! =m ( blue o9tm5t2 by hypod]mic injection1 usually z corrosive sublimate solution4 ,! me?od by fumigation1 ) calomel or bisulphuret1 is n[ r>ely employ$4 ,! me?od by ! m\? is ! common "o1 & x is only 9 r>e in/ances t any o!r me?od is necess>y or advisable4 ,:at local applications are usually advis$ 9 ! eruptions ( second>y syphilis8 ,if ! eruption is ext5sive1 & m especially 9 ! pu/ul> types1 ba?s ( corrosive sublimate 7dram ii-dram-iv to ,cong4 xxx7 may be us$2 & o9tm5t ( ammoniat$ m]cury1 tw5ty to sixty gra9s to ! ounce1 blue o9tm5t1 & ! t5 p] c5t4 oleate ( m]cury alone or ) an equal quantity ( any o9tm5t base4 ,! same applications or a du/+ p[d] ( calomel may also be us$ on moi/ papules4 ,h[ long is m]cury to be actively cont9u$ 9 cases ( e>ly 7second>y7 syphilis8 ,until "o or two mon?s aft] all manife/ations 7cutane\s or o!r7 h disappe>$1 & !n1 z a g5]al rule1 cont9u$1 z a small daily dose 7ab\t "o-qu>t] to "o-?ird ( t prescrib$ dur+ ! active treatm5t7 = a p]iod ( two or ?ree mon?s2 !n ano!r cycle ( ! active dosage = a p]iod ( f\r to six weeks2 !n a resumption ( ! small] daily dose = ano!r two or ?ree mon?s2 & s on1 = a p]iod ( at lea/ two ye>s4 7,almo/ all au?orities are agre$ z to ! importance ( prolong$ treatm5t1 b diff] some:at on ! "q ( int]mitt5t or un9t]rupt$ adm9i/ration47 ,give ! con/itutional treatm5t ( ! late1 or localiz$1 syphilod]mata4 ,m]cury always1 usually 9 small or mod]ate dosage1 z ! b9iodide or corrosive *loride1 & potassium iodide2 ! latt] 9 dose v>y+ f two gra9s to two dra*ms or m1 t4d41 dep5d+ ^u its action & ! urg5cy ( ! case4 ,h[ long is con/itutional treatm5t to be cont9u$ 9 cases ( ! late syphilod]mata8 ,actively = sev]al weeks aft] ! disappe>ance ( all symptoms1 & !n 7especially ! m]cury7 cont9u$ 9 small] dosage 7ab\t "o-?ird7 = sev]al mon?s long]4 ,:at applications are usually advis$ 9 ! late1 or localiz$1 syphilod]mata8 ,o9tm5t ( ammoniat$ m]cury1 tw5ty to sixty gra9s to ! ounce2 oleate ( m]cury1 five to t5 p] c5t4 /r5g?2 m]curial pla/]1 full /r5g? or weak5$ ) l>d or petrolatum2 a two to tw5ty p] c5t4 o9tm5t ( iodol2 resorc91 tw5ty to sixty gra9s to ! ounce ( o9tm5t base2 & lotions ( corrosive sublimate1 "o-half to ?ree gra9s to ! ounce4 ,! foll[+ is valuable 9 (f5sive & ob/9ate ulc]ations3-- ,rx ,hydr>g4 *lorid4 corros41 44444444444 gr4 iv-gr4 viij ,ac4 c>bolici1 44444444444444444444444 gr4 x-xx ,alcoholis1 444444444444444444444444444 fdramiv ,glyc]9ae1 444444444444444444444444444 fdramj ,aquae1 444444444444 q4s4 ad 44444444444 ,oziv4 ,m4 ,o9tm5ts are to be rubb$ 9 or appli$ z a pla/]2 lotions1 employ$ *iefly 9 ulc]s & ulc]ations1 are to be ?or\ghly dabb$ on1 & usually supplem5t$ by ! application ( an o9tm5t4 ,iodol may also be appli$ to ulc]s z a du/+-p[d]1 usually mix$ ) "o to sev]al p>ts ( z9c oxide or boric acid4 ,give ! treatm5t ( h]$it>y infantile syphilis4 ,x is ess5tially ! same 7b mu* small] dosage7 z employ$ 9 acquir$ syphilis4 ,att5tion to prop] fe$+ & hygi5e is ( fir/ importance4 ,m]cury may be giv5 by ! m\?1 z m]cury ) *alk 7gr4 ss-gr4 ij1 t4d472 z calomel 7gr4 #a_/bj-;gr4 #a_/f1 t4d472 & z a solution ( corrosive sublimate 7gr4 ss-,ozvj1 dramj1 t4d474 ,if m]cury is n well borne by ! /oma*1 x may be adm9i/]$ by inunction2 = ?is purpose1 blue o9tm5t is mix$ ) "o or two p>ts ( l>d & spread 7ab\t a dra*m7 ^u an abdom9al b&age & appli$1 be+ r5ew$ daily4 ,treatm5t by means ( ba?s 7gr4 x-xxx to ! ba?7 ( corrosive sublimate is1 at times1 a s]viceable me?od4 ,potassium iodide1 if exceptionally deem$ pref]able1 may be giv5 9 ! dose ( a fractional "p ( a gra9 to two or ?ree gra9s ?ree times daily4 ,:at local measures are to be advis$ 9 cutane\s syphilis ( ! newborn8 ,if dem&$1 applications simil> to ^? employ$ 9 eruptions ( acquir$ syphilis1 b n m ?an "o-?ird to "o-half ! /r5g?4 ,lepra4 7,synonyms3 ,leprosy2 ,elephantiasis ,graecorum47 ,:at d y und]/& by leprosy8 ,lepra1 or leprosy1 is an endemic1 *ronic1 malignant con/itutional disease1 *>act]iz$ by alt]ations 9 ! cutane\s1 n]ve1 & bone /ructures2 v>y+ 9 its morbid manife/ations accord+ to :e!r ! sk91 n]ves or o!r tissues are pr$om9antly involv$4 ,:at is ! nature ( ! premonitory symptoms ( leprosy8 ,9 "s in/ances ! active manife/ations appe> )\t premonition1 b 9 ! majority ( cases symptoms1 slight or sev]e 9 "*1 po9t+ t[>d pr(\nd con/itutional di/urbance1 su* z m5tal depression1 malaise1 *ills1 febrile attacks1 dige/ive d]angem5ts & bone pa9s1 are notic$ = weeks1 mon?s1 or sev]al ye>s prec$+ ! outbreak4 ,:at sev]al v>ieties ( leprosy are obs]v$8 ,two def9ite =ms are usually describ$--! tub]cul> & ! anae/hetic4 ,a %>p division-l9e _c1 h[ev]1 always be drawn2 n infrequ5tly ! manife/ations are ( a mix$ type1 or "o =m may pass into or gradually pres5t symptoms ( ! o!r4 ,illu/ration3 ,fig4 #fb4 ,tub]cul> ,leprosy4 7,aft] ,/odd>d47 ,describe ! symptoms ( tub]cul> leprosy4 ,! =mation ( tub]cles & tub]cul> masses ( infiltration1 usually ( a yell[i%-br[n color1 ) subsequ5t ulc]ation1 con/itute ! important cutane\s symptoms4 ,along )1 or prec$+ ^! *>act]i/ic lesions1 blebs & m or less infiltrat$1 hyp]ae/hetic or anae/hetic1 p9ki%1 r$di% or pale-yell[i% macules make _! appe>ance f "t to "t2 subsequ5tly fad+ away or rema9+ p]man5tly 7lepra maculosa74 ,:5 well advanc$1 ! tub]cul> or nodul> masses give rise to great de=mity2 ! face1 a favorite locality1 becomes m or less leon9e 9 appe>ance 7leontiasis74 ,! tub]cles p]si/ almo/ indef9itely )\t mat]ial *ange1 or und]go absorption or ulc]ation2 ?is la/ takes place mo/ commonly ab\t ! f+]s & toes4 ,! muc\s membrane ( ! m\?1 ph>ynx & o!r p>ts may also become involv$4 ,illu/ration3 ,fig4 #fc4 ,anae/hetic ,leprosy4 ,describe ! symptoms ( anae/hetic leprosy4 ,foll[+ or along ) precursory symptoms d5ot+ g5]al sy/emic di/urbance1 or indep5d5tly ( any prodromal indications1 a hyp]ae/hetic condition1 9 localiz$ areas or m or less g5]al1 is obs]v$4 ,lanc9at+ pa9s along ! n]ves & an irregul> pemphigoid eruption are also commonly not$4 ,!re soon foll[s ! special eruption1 com+ out f "t to "t1 & consi/+ ( sev]al or m1 usually non-elevat$1 well-def9$1 pale-yell[i% pat*es1 "o or two in*es 9 diamet]4 ,z a rule1 !y are at fir/ nei!r hyp]ae/hetic nor anae/hetic1 b may be ! seat ( slight burn+ or it*+4 ,!y spread p]iph]ally1 & t5d to cle> 9 ! c5tre4 ,! pat*es ev5tually become m>k$ly anae/hetic1 & ! ov]ly+ sk91 & ! sk9 on o!r p>ts z well1 becomes atrophic & ( a br[ni% or yell[i% color4 ,! subcutane\s tissues1 muscle1 hair & nails und]go atrophic or deg5]ative *anges1 & ^! *anges are especially not$ ab\t ! h&s & feet4 ,^! p>ts become crook$1 ! bone tissues are involv$1 ! phalanges dropp+ (f or disappe>+ by dis9tegration or absorption 7lepra mutilans74 ,soon] or lat] v>i\s p>alytic symptoms1 %[+ m active involvem5t ( ! n]ve trunks1 pres5t !mselves4 ,/ate ! cause ( leprosy4 ,pres5t k po9ts to a peculi> bacillus z ! active factor1 :ile climate1 soil1 h]$ity1 food & habits ex]t a pr$ispos+ influ5ce4 ,is leprosy contagi\s8 ,! cons5sus ( op9ion po9ts to ! acceptance ( ! possible contagi\sness ( leprosy2 probably by inoculation1 b only "u c]ta9 unkn[n favor+ conditions4 ,:at are ! pa?ological *anges8 ,! lesions consi/ ess5tially ( a new gr[?1 made up ( num]\s small1 m or less aggregat$ r\nd cells1 beg9n+ 9 ! walls ( ! bloodvessels4 ,9 ?is way ! tub]cul> masses & v>i\s o!r lesions are =m$4 ,z yet1 positive involvem5t ot ! c5tral n]v\s sy/em has n be5 %[n1 b "s ( ! n]ve trunks are f\nd to be inflam$ & swoll51 ) a t5d5cy t[>d h>d5+4 ,:at sev]al diseases are to be elim9at$ 9 ! diagnosis ( leprosy8 ,syphilis1 morphoea1 vitiligo1 lupus1 & syr+omyelia4 ,:5 well advanc$1 ! aggregate symptoms ( leprosy =m a picture :i* c sc>cely be confus$ ) t ( any o!r disease4 ,9 d\btful cases microscopical exam9ations ( ! involv$ tissues1 = ! bacilli1 %\ld be made4 ,/ate ! prognosis ( leprosy4 ,unfavorable2 a fatal t]m9ation is ! rule1 b may n be rea*$ = a numb] ( ye>s4 ,! tub]cul> =m is ! mo/ grave1 ! mix$ v>iety next1 & ! anae/hetic ! lea/4 ,pati5ts are n infrequ5tly c>ri$ (f by int]curr5t disease4 ,prop] managem5t w (t5 delay ! fatal end+1 & exceptionally1 9 ! anae/hetic v>iety1 /ay ! progress ( ! disease4 ,:at is ! treatm5t ( leprosy8 ,hygi5ic measures are important4 ,*aulmoogra oil & gurjun oil int]nally & ext]nally are 9 "s in/ances ( s]vice4 ,/ry*nia alone1 or ) ei!r ( ^! oils1 is (ttimes b5eficial4 ,i*?yol int]nally1 & ext]nal applications ( ! same drug1 & ( resorc91 *rys>ob91 & pyrogallic acid1 h be5 extoll$4 ,*ange ( climate1 especially to a region :]e ! disease does n prevail1 is (t5 ( great advantage4 ,pellagra4 7,synonym3 ,lomb>dian ,leprosy47 ,describe pellagra4 ,pellagra is a sl[ b usually progressive disease occurr+ *iefly 9 ,italy1 due1 x is ?\ght1 to ! cont9u$ +e/ion ( decompos$ or f]m5t$ maize4 ,x is *>act]iz$ by cutane\s symptoms1 at fir/ ^u expos$ p>ts1 ( an ery!mat\s1 desquamative1 vesicul> & bull\s "*1 & by g5]al con/itutional di/urbance ( a m>k$ly neurotic type4 ,a fatal end+1 if ! disease is at all sev]e or advanc$1 is to be expect$4 ,treatm5t is bas$ ^u g5]al pr9ciples4 ,epi!lioma4 7,synonyms3 ,sk9 ,canc]2 ,epi!lial ,canc]2 ,c>c9oma ,epi!liale47 ,:at sev]al v>ieties ( epi!lioma are met )8 ,?ree--! sup]ficial1 ! deep-seat$1 & ! papillomat\s4 ,describe ! cl9ical appe>ances & c\rse ( ! sup]ficial v>iety ( epi!lioma4 ,! sup]ficial1 or flat v>iety 7rod5t ulc]71 beg9s1 usually on ! face1 z a m9ute1 firm1 r$di% or yell[i% tub]cle1 z an aggregation ( su*1 z a w>ty excresc5ce1 or z a localiz$ deg5]ative seborrhoeic pat*4 ,! latt] lesion 7kn[n also z k]atosis s5ilis1 old-age atrophic pat*es71 consi/+ ( a yell[i% or yell[i%-br[n greasy or h>d5$ scurfy spot or pat* is q frequ5tly ! />t+-po9t ( epi!lial gr[?s4 ,soon] or lat]1 commonly aft] mon?s or sev]al ye>s1 ! surface becomes slightly excoriat$1 & an insignificant1 yell[i% or br[ni% cru/ is =m$4 ,! excoriation gradually develops into sup]ficial ulc]ation1 & ! diseas$ area becomes sl[ly l>g] & l>g]4 ,new lesions may cont9ue1 f "t to "t1 to appe> ab\t ! edges & g ?r\gh ! same *anges4 ,illu/ration3 ,fig4 #fd4 ,epi!lioma4 7,aft] ,d4 ,lewis47 ,! ulc] has usually an unev5 surface1 secretes a ?91 scanty1 viscid fluid1 :i* dries to a firm1 adh]5t cru/4 ,x is usually def9$ aga9/ ! heal?y sk9 by a slightly elevat$1 h>d1 roll-l1 waxy-look+ bord]4 ,9 r>e in/ances !re is a disposition1 at po9ts1 to spontane\s involution & sc> =mation2 z a rule1 h[ev]1 ! ulc]ative action sl[ly progresses4 ,! g5]al heal? is unimpair$1 ! neighbor+ lymphatic gl&s are n involv$1 & ! local condition1 beyond ! disfigurem5t1 gives rise to little tr\ble1 unless1 z occasionally happ5s1 x passes into ! m malignant1 deep-seat$ v>iety4 ,describe ! cl9ical appe>ances & c\rse ( ! deep-seat$ v>iety ( epi!lioma4 ,! deep-seat$ v>iety />ts f ! sup]ficial =m1 or x beg9s z a tub]cle or nodule 9 ! sk94 ,:5 typically develop$1 a r$di%1 %9+ tub]cle or nodule1 or area ( infiltration1 =ms 9 ! sk9 or subcutane\s tissue4 ,9 ! c\rse ( weeks or mon?s sup]ficial or deep-seat$ ulc]ation takes place2 ! ulc] hav+ h>d5$1 &1 z a rule1 ev]t$ edges4 ,! surface is r$di% & granul>1 & secretes an i*or\s dis*>ge4 ,! infiltration spreads1 ! ulc] enl>ges bo? p]iph]ally & 9 dep?--muscle1 c>tilage & bone (t5 becom+ invad$4 ,! neighbor+ lymphatic gl& may become implicat$1 pa9s ( a burn+ or neuralgic type are exp]i5c$1 & f septicaemia1 m>asmus1 or involvem5t ( vital p>ts1 dea? ev5tually ensues4 ,describe ! cl9ical appe>ances & c\rse ( ! papillomat\s v>iety ( epi!lioma4 ,! papillomat\s type usually arises f ! sup]ficial or deep-seat$ v>iety1 or x may beg9 z a papill>y or w>ty gr[?4 ,:5 fully develop$1 x pres5ts an ulc]at$1 fissur$ & papillomat\s surface1 ) an i*or\s dis*>ge :i* dries to cru/s4 ,x is sl[ly progressive1 & soon] or lat] may develop a malignant t5d5cy4 ,^u :at p>ts is epi!lioma commonly obs]v$8 ,ab\t ! face1 especially ! nose1 eyelids & lips2 & also ab\t ! g5italia4 ,x may involve any "p4 ,at :at age is epi!lioma usually not$8 ,x is ess5tially a disease ( middle & late life1 al?\gh x is exceptionally met ) 9 ! "y4 ,:at is ! cause ( epi!lioma8 ,! etiology is obscure4 ,x is n1 z a rule1 inh]it$4 ,any locally irritat$ tissue may be ! />t+ po9t ( ! disease4 ,/ate ! pa?ology4 ,! process consi/s 9 ! prolif]ation ( epi!lial cells f ! muc\s lay]2 ! cell-gr[? takes place d[nw>d1 9 ! =m ( f+]-l prolongations or columns1 or x may spread out lat]ally1 s z to =m r\nd$ masses1 ! c5tres ( :i* usually und]go horny trans=mation1 result+ 9 ! =mation ( onion-l bodies1 ! s-call$ cell-ne/s or globes4 ,! rapid cell-gr[? requires increas$ nutrim5t1 & h5ce ! bloodvessels become enl>g$2 moreov]1 ! pressure ( ! cell-masses gives rise to irritation & inflammation1 ) correspond+ s]\s & r\nd-cell infiltration4 ,h[ w\ld y di/+ui% epi!lioma f syphilitic ulc]ation1 w>t1 & lupus vulg>is8 ,f syphilis x is to be diff]5tiat$ by ! hi/ory1 duration1 "* ( ! base & edges1 its comp>ative sl[ progress1 its usually slight1 viscid dis*>ge1 (t5 /reak$ ) blood1 &1 if necess>y1 by ! !rapeutic te/4 ,w>t or w>ty gr[?s are to be diff]5tiat$ by att5tion to _! hi/ory & c\rse4 ,long-cont9u$ obs]vation may be necess>y be=e a positive op9ion is w>rantable4 ,! appe>ance ( any t5d5cy to cru/+1 to break d[n or ulc]ate is significant ( epi!liomat\s deg5]ation4 ,9 lupus vulg>is ! deposits are peculi> & multiple1 ! ulc]ations are ( diff]5t "*1 ! t5d5cy to sc>-=mation con/ant2 &1 ) few exceptions1 x has1 moreov]1 its beg9n+ 9 *ildhood or e>ly adult life4 ,:at factors are to be consid]$ 9 giv+ a prognosis 9 epi!lioma8 ,! v>iety1 ext5t1 & rapidity ( ! process4 ,! sup]ficial =m may exi/ = ye>s1 & give rise to no al>m2 :]eas ! deep]-seat$ v>ieties are always to be view$ z s]i\s1 & are1 inde$1 (t5 fatal4 ,involv+ ! g5italia1 its c\rse is (t5 /rik+ly rapid4 ,relapses1 aft] removal1 are n uncommon4 ,:at is ! special object 9 view 9 ! treatm5t ( epi!lioma8 ,?or\gh de/ruction or removal ( ! epi!liomat\s tissue4 ,h[ is ! de/ruction or removal ( ! epi!liomat\s tissue effect$8 ,by ! use ( su* cau/ics z cau/ic pota%1 *loride-(-z9c pa/e1 pyrogallic acid1 ars5ic1 & ! galvano-caut]y2 & by op]ative measures1 su* z excision & erasion ) ! d]mal curette1 & by ! x-ray4 7,see treatm5t ( lupus vulg>is47 ,9 small lesions ! use ( an ars5ical pa/e is a mo/ admirable me?od ( treatm5t1 al?\gh some:at pa9ful4 ,! pa/e is made ( "o "p p[d]$ acacia & "o to two p>ts ars5i\s acid2 at ! "t ( application suffici5t wat] is add$ to make a pa/e4 ,?is is appli$ ?ickly1 & a piece ( l9t sup]impos$4 ,a good deal ( pa9 & inflammatory swell+ ensue2 at ! end ( tw5ty-f\r h\rs ! "p is p\ltic$ till ! sl\gh comes away2 ! ulc] is !n treat$ z a simple ulc]1 "u :i* heal+ takes place4 ,occasionally a second application is f\nd necess>y4 ,^u ! :ole1 ! be/ me?od 9 ! av]age case is to curette ?or\ghly1 & supplem5t ) mom5t>y caut]ization1 ) cau/ic pota%1 or ) sev]al days' use ( ! pyrogallic acid o9tm5t4 ,dur+ ! heal+ process1 %ort exposures to ! ,ro5tg5 ray--ab\t e ?ree to five days--is good practice4 ,! deg5]ative *anges 9 ! beg9n+ ( scurfy1 seborrhoeic spots or pat*es se5 9 old p c frequ5tly be less5$ or :olly /opp$ by ! daily application ( an o9tm5t conta9+ #e to #aj p] c5t4 ( sulphur & #b to #e p] c5t4 ( salicylic acid4 ,:at c be said ( ! value ( ! x-ray 9 epi!lioma8 ,! x-ray me?od is n[ mu* 9 vogue1 & proves curative 9 _m sup]ficial cases1 & ( b5efit 9 "s ( ! deep]-seat$ v>ieties4 ,9 mo/ cases x mu/ be pu%$ to ! po9t ( produc+ a mild x-ray ery!ma2 & 9 "s in/ances b5efit or cure only occurs aft] m active exposure1 suffici5t to cause an x-ray burn ( ! second degree4 ,! me?od is n att5d$ ) mu* risk if prop]ly us$4 ,! heal?y p>ts %\ld be protect$ by lead-foil4 ,exposure %\ld be two to five times weekly1 at a di/ance ( ?ree to eight in*es1 & f five to tw5ty m9utes1 employ+ a tube ( m$ium vacuum4 ,un=tunately ! me?od is usually sl[4 ,! radium treatm5t is ess5tially simil> to t by ! x-ray4 ,! mu* bett] plan1 z already intimat$1 is to employ "o ( ! sev]al op]ative or cau/ic me?ods1 & supplem5t+1 :ile heal+1 ) ! x-ray4 ,paget's ,disease ( ! ,nipple4 7,synonyms3 ,malignant ,papill>y ,d]matitis2 ,paget's ,disease47 ,:at d y und]/& by ,paget's disease ( ! nipple8 ,paget's disease is a r>e1 inflammatory-look+1 malignant disease ( ! nipple & areola 9 wom51 usually ( advanc+ ye>s1 ev5tually t]m9at+ 9 canc]\s involvem5t ( ! entire gl&4 ,describe ! symptoms ( ,paget's disease4 ,! fir/ symptoms1 :i* usually la/ = mon?s or ye>s1 are app>5tly eczemat\s1 accompani$ ) m or less burn+1 it*+ & t+l+4 ,gradually1 ! diseas$ area1 :i* is %>ply-def9$1 & feels l a ?9 lay] ( indurat$ tissue1 pres5ts a florid1 int5sely r$1 v f9ely-granul>1 raw surface1 att5d$ ) a m or less copi\s viscid exudation4 ,soon] or lat] retraction & de/ruction ( ! nipple1 foll[$ by gradual scirrh\s involvem5t ( ! :ole brea/1 takes place4 ,:at is ! pa?ology ( ,paget's disease8 ,al?\gh x 0 ?\ght at "o "t to be a canc]\s disease result+ f a cont9u$ eczemat\s inflammation ( ! p>ts1 !re is n[ b little d\bt t x is ( malignant nature f ! e>lie/ /ages4 ,! psorosp]m-l bodies f\nd1 to ! pres5ce ( :i* ! disease has by "s au?orities be5 attribut$ 7psorosp]mosis71 are n[ kn[n to be m]ely *ang$ & deg5]at$ epi!lia4 ,! morbid *anges consi/ ( an inflammation ( ! papill>y region ( ! d]ma1 lead+ to oedema & vacuolation ( ! con/itu5t cells ( ! epid]mis1 foll[$ by _! complete de/ruction 9 places & _! abnormal prolif]ation 9 o!rs 7,=dyce74 ,/ate ! diagno/ic features ( ,paget's disease4 ,! age ( ! pati5t2 ! %>p limitation2 ! well-def9$1 indurat$ film ( infiltration2 ! peculi>1 r$1 raw1 granulat+ appe>ance2 &1 lat]1 ! retraction ( ! nipple2 &1 f9ally1 ! involvem5t ( ! deep] p>ts4 ,:at is ! prognosis8 ,if ! disease is recogniz$ e>ly1 & prop]ly treat$1 a cure may be anticipat$2 lat] ! outlook is t ( scirrhus ( ! brea/4 ,:at is ! treatm5t ( ,paget's disease8 ,?or\gh caut]ization by means ( cau/ic pota% or ! galvano-caut]y2 or1 its extirpation by means ( ! curette or excision4 ,aft] extirpation or caut]ization1 supplem5t>y treatm5t by ! x-ray is advisable z an additional measure ( precaution aga9/ relapse4 ,until ! diagnosis is ?or\ghly e/abli%$1 soo?+ applications1 su* z are employ$ 9 acute eczema1 are to be advis$4 ,s>coma4 7,synonyms3 ,s>coma ,cutis2 ,s>coma ( ! ,sk947 ,describe ! sev]al v>ieties ( s>coma4 ,s>coma ( ! sk9 is a m or less malignant new gr[?1 ( rapid or sl[ progress1 *>act]iz$ by ! appe>ance ( s+le or multiple1 v>i\sly-%ap$1 discrete1 non-pigm5t$ or pigm5t$ tub]cles or tumors1 ( size v>y+ f t ( a %ot to a hazelnut or l>g]4 ,z a rule ! gr[?s are smoo?1 firm & ela/ic1 some:at pa9ful ^u pressure1 & exhibit a t5d5cy to ulc]ate4 ,! ov]ly+ sk9 is at fir/ normal & some:at movable1 b z ! gr[?s approa* ! surface x becomes r$d5$ & adh]5t2 or1 if ! disease is ( ! pigm5t$ v>iety1 x acquires a blui%-black color4 ,x is n[ g5]ally believ$ t ! mo/ ( ! pigm5t$ cases =m]ly ?\ght to be ( s>comat\s nature are really c>c9omat\s 9 "*4 ,! multiple pigm5t$ s>coma 7melano-s>coma7 appe>s fir/1 usually on ! soles & dorsal surfaces ( ! feet1 & lat] on ! h&s4 ,!re is m or less diffuse ?ick5+ ( ! integum5t4 ,! lesions !mselves manife/ a disposition to ble$4 ,/ate ! prognosis & treatm5t ( s>coma4 ,! disease is always m or less malignant &1 z a rule1 soon] or lat] a fatal t]m9ation takes place4 ,x is usually sl[ 9 its c\rse4 ,excision or extirpation1 x-ray exposures1 & ! adm9i/ration ( ars5ic 9 increas+ dosage 7pref]ably by hypod]mic injection7 n[ are g5]ally consid]$ ! mo/ promis+ 9 ?is usually hopeless malady4 ,granuloma ,fungoides4 ,describe granuloma fungoides4 ,a r>e =m ( disease1 h]et(ore look$ ^u z s>comat\s1 b n[ g5]ally recogniz$ z granuloma1 & =m]ly describ$ "u ! names mycosis fungoides1 inflammatory fungoid neoplasm1 & sev]al o!rs4 ,x is *>act]iz$ usually by symptoms ( an eczemat\s1 urtic>ial1 & erysipelat\s nature1 & by ! sudd5 or gradual appe>ance ( p9ki% or r$di%1 tub]cul>1 nodul>1 lobulat$1 or furr[$ tumors or flat infiltrations1 :i* may disappe> by involution or may be foll[$ by ulc]ation2 sev]al or a l>g] numb] ( ! gr[?s pres5t a mu%room1 papillomat\s1 or fungoid appe>ance1 sometimes r\ghly resembl+ ! cut "p ( a tomato4 ,9 mo/ cases ! tumor /age ( ! malady is n rea*$ = two or m ye>s2 9 exceptional in/ances1 h[ev]1 !y appe> 9 ! fir/ few mon?s4 ,! lesions1 especially 9 _! e>ly /ages1 are1 z a rule1 accompani$ ) m or less burn+ & it*+4 ,/ate ! prognosis & treatm5t ( granuloma fungoides4 ,! malady may la/ = sev]al ye>s or mu* long]1 a fatal t]m9ation1 ) r>e exceptions1 soon] or lat] tak+ place4 ,aft] ! tumor /age is well e/abli%$1 ! pati5t usually succumbs 9 f sev]al mon?s to "o or two ye>s4 ,illu/ration3 ,fig4 #fe4 ,granuloma ,fungoides4 ,treatm5t consi/s ( tonics1 if indicat$1 & ! adm9i/ration ( ars5ic1 pref]ably hypod]mically1 & ,ro5tg5-ray exposures1 along ) ! application ( mild antiseptics1 & op]ative int]f]5ce :5 necess>y or advisable4 ,,class ,,vii4--,,neuroses4 ,hyp]ae/hesia4 ,:at is hyp]ae/hesia8 ,by hyp]ae/hesia is meant increas$ cutane\s s5sibility4 ,x is usually m or less localiz$1 & is met ) z a symptom 9 functional & organic n]v\s diseases4 ,d]matalgia4 7,synonyms3 ,neuralgia ( ! ,sk92 ,rheumatism ( ! ,sk92 ,d]malgia47 ,:at d y und]/& by d]matalgia8 ,by d]matalgia is meant a t5d] or pa9ful condition ( ! sk9 unatt5d$ by /ructural *ange4 ,x is commonly limit$ to a small area1 & is usually symptomatic ( functional or organic n]v\s disease4 ,z an idiopa?ic affection x is look$ ^u z ( a rheumatic orig94 ,treatm5t dep5ds ^u ! cause4 ,anae/hesia4 ,:at is anae/hesia8 ,anae/hesia is a dim9ution1 comp>ative or complete1 ( cutane\s s5sibility4 ,x is usually localiz$1 & is met ) 9 ! c\rse ( c]ta9 n]v\s affections4 ,x is also enc\nt]$ 9 leprosy1 morphoea & l diseases4 ,pruritus4 ,:at d y und]/& by pruritus8 ,pruritus is a functional disease ( ! sk91 ! sole symptom ( :i* is it*+1 !re be+ no /ructural *ange4 ,describe ! symptoms ( pruritus4 ,! sole & ess5tial symptom is it*9ess1 usually m or less p>oxysmal1 & worse at night4 ,!re are no prim>y /ructural lesions1 b 9 sev]e & p]si/5t cases ! p>ts become s irritat$ by cont9u$ scrat*+ t second>y lesions1 su* z papules & slight ?ick5+ & infiltration1 may result4 ,x is mu* m common 9 advanc$ life--pruritus s5ilis4 ,9 su* cases1 z well z 9 ^? cases 9 y\ng] & middle-ag$ individuals 9 :i* ! it*9ess develops at ! approa* ( cold wea!r & disappe>s ^u ! com+ ( ! w>m season 7pruritus hiemalis71 ! pruritus is usually m or less g5]aliz$1 al?\gh n infrequ5tly 9 ! latt] ! legs are specially involv$4 ,9 "s individuals an attack ( pruritus1 ( v>iable int5sity1 la/+ f five to ?irty m9utes1 comes on imm$iately aft] a ba? 7ba?-pruritus74 ,x is usually conf9$ to ! legs f ! hips d[n4 ,is pruritus always m or less g5]aliz$8 ,no2 n infrequ5tly ! it*+ is limit$ to ! g5ital region 7pruritus scroti1 pruritus vulvae7 or to ! anus 7pruritus ani74 ,to :at may pruritus (t5 be ascrib$8 ,to dige/ive & inte/9al d]angem5ts1 hepatic disord]s1 ! uric acid dia!sis1 ge/ation1 diabetes mellitus1 & a deprav$ /ate ( ! n]v\s sy/em4 ,pruritus vulvae is at times due to irritat+ dis*>ges1 & pruritus ani occasionally to hemorrhoids & seat-worms4 ,is !re any difficulty 9 ! diagnosis ( pruritus8 ,no4 ,! subjective symptom ( it*+ )\t ! pres5ce ( /ructural lesions is diagno/ic4 ,9 ^? sev]e & p]si/5t cases 9 :i* excoriations & papules h result$ f ! scrat*+1 ! hi/ory ( ! case1 toge!r ) its c\rse1 mu/ be consid]$4 ,c>e %\ld be tak5 n to conf\nd x ) p$iculosis4 ,9 ?is latt] ! excoriations usually h a some:at peculi> di/ribution1 be+ mo/ abundant on ^? p>ts ( ! body ) :i* ! clo?+ lies closely 9 contact4 7,see ,p$iculosis corporis47 ,9 pruritus ( ! g5itocrural region ! possibility ( p$iculi be+ ! cause mu/ be kept 9 m9d2 an exam9ation ( ! p>ts = ! p>asite or = ova 7atta*$ to ! hairs7 w\ld prev5t error4 7,see ,p$iculosis pubis47 ,:at prognosis w\ld y give 9 pruritus8 ,9 ! majority ( cases ! condition responds to prop] treatm5t1 b 9 o!rs x proves rebelli\s4 ,! prognosis dep5ds1 9 fact1 ^u ! removability ( ! cause4 ,tempor>y relief may always be giv5 by ext]nal applications4 ,h[ w\ld y treat pruritus8 ,) sy/emic rem$ies direct$ t[>d a removal or modification ( ! etiological factors1 &1 = ! tempor>y relief ( ! it*+1 suitable antipruritic applications4 ,9 obscure cases1 qu9ia1 saloph51 li?ia salts1 calcium *loride1 belladonna1 nux vomica1 ars5ic1 piloc>p9e1 & g5]al galvanization may be v>i\sly tri$4 ,alkalies prove useful 9 _m cases4 ,exceptionally1 ! relief furni%$ by ext]nal treatm5t is m or less p]man5t4 ,"n ! important antipruritic applications4 ,alkal9e ba?s2 lotions ( c>bolic acid 7dramj-dramiij to ,oj71 ( resorc9 7dramj-dramiv to ,oj71 ( liquor c>bonis det]g5s 7,ozj-,oziv to ,oj71 & liquor picis alkal9us 7dramj-dramiv to ,oj71 us$ cauti\sly4 ,"o or sev]al ounces ( alcohol & "o or two dra*ms ( glyc]9 9 ea* p9t ( ^! lotions w (t5 be ( advantage1 z ! foll[+3-- ,rx ,ac4 c>bolici1 44444444444444444444444 dramj-dramiij ,gylc]9ae1 444444444444444444444444444 fdramij ,alcoholis1 444444444444444444444444444 fozij ,aquae1 444444444 q4s4 ad 44444444444444 ,oj4 ,m4 ,v>i\s du/+-p[d]s1 alone or 9 conjunction ) ! lotions4 ,& 9 "s cases1 especially ^? 9 :i* ! sk9 is unnaturally dry1 o9tm5ts may be us$1 su* z equal p>ts ( l>d1 lanol91 & petrolatum1 to ! ounce ( :i* may be add$ f five to ?irty gra9s ( c>bolic acid1 ?ree to tw5ty gra9s ( ?ymol1 t5 to ?irty m9ims ( *lor(orm1 or two to t5 gra9s ( m5?ol4 ,:at ext]nal applications are to be us$ 9 ! local v>ieties ( pruritus8 ,9 pruritus ani & pruritus vulvae1 9 addition to ! v>i\s applications above1 a coca9e o9tm5t1 "o to t5 gra9s to ! ounce1 a /rong solution ( ! same 7gr4 v-xx to ,ozj71 & an o9tm5t conta9+ t5 to ?irty m9ims ( ! oil ( pepp]m9t to ! ounce2 spong+ ) hot wat]1 (t5 af=ds tempor>y relief4 ,9 pruritus vulvae1 moreov]1 a/r+5t applications & injections ( z9c sulphate1 alum1 tannic or acetic acid1 9 ! /r5g? commonly employ$ = vag9al injections1 are at times curative4 ,9 ba?-pruritus weak glyc]9e lotions1 & an o9tm5t conta9+ a few gra9s ( ?ymol & m5?ol to ! ounce sometimes give mod]ate relief4 ,turki% ba?s are sometimes free f subsequ5t pruritus4 ,,class ,,viii4--,,p>asitic ,,affections4 ,t9ea ,favosa4 7,synonym3 ,favus47 ,:at is t9ea favosa8 ,t9ea favosa1 or favus1 is a contagi\s vegetable-p>asitic disease ( ! sk91 *>act]iz$ by p9-head to pea-siz$1 friable1 umbilicat$1 cup-%ap$ yell[ cru/s1 ea* usually p]=at$ by a hair4 ,^u :at p>ts & at :at age is favus obs]v$8 ,x is usually met ) ^u ! scalp1 b x may occur ^u any "p ( ! integum5t4 ,occasionally ! nails are invad$4 ,x is se5 at all ages1 b is mu* m common 9 *ildr54 ,describe ! symptoms ( favus ( ! scalp4 ,! disease beg9s z a sup]ficial inflammation or hyp]aemic spot1 m or less circumscrib$1 slightly scaly1 & :i* is soon foll[$ by ! =mation ( yell[i% po9ts ab\t ! hair follicles1 surr\nd+ ! hair %aft4 ,^! yell[i% po9ts or cru/s increase 9 size1 become usually z l>ge z small peas1 are cup-%ap$1 ) ! convex side press+ d[n ^u ! papill>y lay]1 & ! concave side rais$ sev]al l9es above ! level ( ! sk92 !y are umbilicat$1 friable1 sulphur-color$1 & usually ea* cup or disc is p]=at$ by a hair4 ,^u removal or deta*m5t1 ! und]ly+ surface is f\nd to be some:at excavat$1 r$d5$1 atrophi$ & sometimes suppurat+4 ,z ! disease progresses ! cru/+ becomes m or less conflu5t1 =m+ irregul> masses ( ?ick1 yell[i%1 mort>-l cru/s or accumulations1 hav+ a peculi>1 *>act]i/ic odor--t ( mice1 or /ale1 damp /raw4 ,! hairs are involv$ e>ly 9 ! disease1 become brittle1 lu/reless1 break (f & fall out4 ,9 "s in/ances1 especially ne> ! bord] ( ! cru/s1 are se5 pu/ules or suppurat+ po9ts4 ,atrophy & m or less actual sc>r+ are soon] or lat] not$4 ,it*+1 v>iable z to degree1 is usually pres5t4 ,:at is ! c\rse ( favus ( ! scalp8 ,p]si/5t & sl[ly progressive4 ,illu/ration3 ,fig4 #ff4 ,a*orion ,s*o5le9ii ,x #dej4 7,aft] ,duhr+47 ,%[+ simple mycelium1 9 v>i\s /ages ( developm5t1 & free spores4 ,:at are ! symptoms ( favus :5 seat$ ^u ! g5]al surface8 ,! symptoms are ess5tially simil> to ^? ^u ! scalp1 modifi$ some:at by ! anatomical diff]5ces ( ! p>ts4 ,! nails1 :5 affect$1 become yell[i%1 m or less ?ick5$1 brittle & opaque 7t9ea favosa unguium1 ony*omycosis favosa74 ,to :at is favus due8 ,solely to ! invasion ( ! cutane\s /ructures1 especially ! epid]mal portion1 by ! vegetable p>asite1 ! a*orion ,s*o5le9ii4 ,x is contagi\s4 ,x is a some:at r>e disease 9 ! native-born1 be+ *iefly obs]v$ among ! =eign poor4 ,! nails are r>ely affect$ prim>ily4 ,x is also met ) 9 ! l[] animals1 f :i* x is d\btless n infrequ5tly communicat$ to man4 ,:at are ! diagno/ic features ( favus8 ,! yell[1 & (t5 cup-%ap$1 cru/s1 brittl5ess & loss ( hair1 atrophy1 & ! hi/ory4 ,illu/ration3 ,fig4 #fg4 ,epilat+ ,=ceps4 ,h[ w\ld y di/+ui% favus f eczema & r+worm8 ,f eczema by ! condition ( ! affect$ hair1 ! atrophic & sc>-l areas1 ! odor1 & ! hi/ory4 ,f r+worm by ! cru/+ & ! atrophy4 ,9 ?is latt] disease !re is usually b slight scal9ess1 & r>ely any sc>r+4 ,f9ally1 if necess>y1 a microscopic exam9ation ( ! cru/s may be made4 ,/ate ! me?od ( exam9ation = fungus4 ,a portion ( ! cru/ is moi/5$ ) liquor potassae & exam9$ ) a p[] ( ?ree to five hundr$ diamet]s4 ,! fungus1 7a*orion ,s*o5le9ii71 consi/+ ( mycelium & spores1 is luxuriant & is readily detect$4 ,/ate ! prognosis ( favus4 ,^u ! scalp1 favus is extremely *ronic & rebelli\s to treatm5t1 & a cure 9 six to twelve mon?s may be consid]$ satisfactory2 9 neglect$ cases p]man5t baldness1 atrophy1 & sc>r+ soon] or lat] result4 ,al?\gh favus ( ! scalp p]si/s into adult life1 x becomes less active &1 f9ally1 z a rule1 gradually disappe>s1 leav+ beh9d sc>r$ or atrophic bald areas4 ,^u ! g5]al surface x usually responds readily to treatm5t1 except+ favus ( ! nails1 :i* is always ob/9ate4 ,h[ is favus ( ! scalp treat$8 ,treatm5t is entirely local & consi/s 9 keep+ ! p>ts free f cru/s1 9 epilation & applications ( a p>asiticide4 ,! cru/s are remov$ by oily applications & soap-&-wat] wa%+s4 ,! hair on & ar\nd ! diseas$ p>ts is to be kept closely cut1 &1 :5 practicable1 depilation1 or extraction ( ! affect$ hairs1 is advis$2 ?is latt] is1 9 mo/ cases1 ess5tial to a cure4 ,rem$ial applications--! s-call$ p>asiticides--are1 z a rule1 to be made twice daily4 ,if an o9tm5t is us$1 x is to be ?or\ghly rubb$ 92 if a lotion1 x is to be dabb$ on = sev]al m9utes & all[$ to soak 94 ,"n ! mo/ important p>asiticides4 ,corrosive sublimate1 "o to f\r gra9s to an ounce ( alcohol & wat]2 c>bolic acid1 "o "p to ?ree or m p>ts ( glyc]9e2 a t5 p] c5t4 oleate ( m]cury2 o9tm5ts ( ammoniat$ m]cury1 sulphur & t>2 & sulphur\s acid1 pure or dilut$4 ,! foll[+ is valuable3-- ,rx ,sulphur1 praecip41 44444444444444444444 dramij ,saponis viridis1 ,ol4 cad9i1 4444444 aa 444444444 dramj ,adipis1 444444444444444444444444444444 ,ozss4 ,m4 ,*rys>ob9 is a valuable rem$y1 b mu/ be us$ ) caution2 x may be employ$ z an o9tm5t1 five to t5 p] c5t4 /r5g?1 z a rubb] pla/]1 or z a pa9t1 a dra*m to an ounce ( gutta-p]*a solution4 ,=mal91 weak5$ or full /r5g?1 has be5 extoll$4 ,"s obs]v]s h exp]im5tally tri$ ! effect ( x-ray exposure ) alleg$ good results1 pu%+ ! treatm5t to ! po9t ( produc+ depilation2 if us$ great caution %\ld be ex]cis$4 ,h[ is favus ^u ! g5]al surface to be treat$8 ,9 ! same g5]al mann] z favus ( ! scalp1 b ! rem$ies employ$ %\ld be some:at weak]4 ,9 favus ( ! nail frequ5t & close p>+ ( ! affect$ "p & ! application1 twice daily1 ( "o ( ! mild] p>asiticides1 w ev5tually lead to a good result4 ,is con/itutional treatm5t ( any value 9 favus8 ,x is que/ionable1 b 9 debilitat$ subjects tonics1 especially cod-liv] oil1 may be prescrib$ ) ! hope ( aid+ ! ext]nal applications4 ,t9ea ,tri*ophyt9a4 7,synonym3 ,r+worm47 ,:at is t9ea tri*ophyt9a8 ,t9ea tri*ophyt9a1 or r+worm1 is a contagi\s1 vegetable-p>asitic disease due to ! invasion ( ! cutane\s /ructures by ! vegetable p>asite1 ! tri*ophyton1 or ! microsporon ,aud\9ii4 ,d ! cl9ical *>act]s ( r+worm v>y accord+ to ! "p affect$8 ,yes1 (t5 consid]ably2 ?us ^u ! scalp1 ^u ! g5]al surface1 & ^u ! be>d$ region1 ! disease usually pres5ts totally diff]5t appe>ances4 ,describe ! symptoms ( r+worm z x occurs ^u non-hairy portions ( ! body4 ,r+worm ( ! g5]al surface 7t9ea tri*ophyt9a corporis1 t9ea circ9ata7 appe>s z "o or m small1 slightly-elevat$1 %>ply-limit$1 some:at scaly1 hyp]aemic spots1 )1 r>ely1 m9ute papules1 vesico-papules1 or vesicles1 especially at ! circumf]5ce4 ,! pat* spreads 9 a uni=m mann] p]iph]ally1 is slightly scaly1 & t5ds to cle> 9 ! c5tre1 assum+ a r+-l appe>ance4 ,:5 com+ "u obs]vation1 ! pat*es are usually f "o-half to "o in* 9 diamet]1 ! c5tral portion pale or pale r$1 & ! out] portion m or less elevat$1 hyp]aemic & some:at scaly4 ,z commonly not$ "o1 sev]al or m pat*es are pres5t4 ,aft] rea*+ a c]ta9 size !y may rema9 /ation>y1 or 9 exceptional cases may t5d to spontane\s disappe>ance4 ,at times :5 close toge!r1 sev]al may m]ge & =m a l>ge1 irregul>1 gyrate pat*4 ,it*+1 usually slight1 may or may n be pres5t4 ,exceptionally r+worm appe>s z a m>k$ly inflammatory pu/ul> circumscrib$ pat*1 =m]ly ?\ght to be a di/9ct affection & describ$ "u ! "n ( conglom]ate pu/ul> folliculitis4 ,x consi/s ( a flat c>buncul> or k]ion-l inflammation1 some:at elevat$1 & usually a dime to silv] doll> 9 area4 ,! mo/ common seats are ! back ( ! h&s & ! buttocks4 ,! surface is cribri=m1 & a purul5t secretion may be press$ out f follicul> op5+s4 ,illu/ration3 ,fig4 #fh4 ,t9ea tri*ophyt9a cruris--s-call$ eczema m>g9atum--( unusually ext5sive developm5t4 7,aft] ,piff>d47 ,describe ! symptoms ( r+worm :5 occurr+ ab\t ! ?ighs & scrotum4 ,9 adults1 m especially males1 ! inn] portion ( ! upp] "p ( ! ?ighs & scrotum 7t9ea tri*ophyt9a cruris1 s-call$ eczema m>g9atum7 may be attack$1 & "h ! affection1 favor$ by heat & moi/ure1 develops rapidly & may soon lose its ord9>y cl9ical appe>ances1 ! inflammatory symptoms becom+ especially prom95t4 ,! :ole ( ?is region may become involv$1 pres5t+ all ! symptoms ( a true eczema2 ! bord]1 h[ev]1 is %>ply def9$1 & usually "o or m outly+ pat*es ( ! ord9>y cl9ical type ( ! disease may be se54 ,describe ! symptoms ( r+worm :5 involv+ ! nails4 ,9 r+worm ( ! nails 7t9ea tri*ophyt9a unguium7 ^! /ructures become s(t or brittle1 yell[i%1 opaque & ?ick5$ ! *anges tak+ place ma9ly ab\t ! free bord]s4 ,r+worm on o!r p>ts usually coexi/s4 ,describe ! symptoms ( r+worm z x occurs ^u ! scalp4 ,r+worm ( ! scalp 7t9ea tri*ophyt9a capitis1 t9ea tonsurans7 beg9s usually 9 ! same mann] z t ^u ! g5]al surface1 b1 z a rule1 mu* m insidi\sly4 ,soon] or lat]1 h[ev]1 ! hair & follicles are invad$ by ! fungus1 & 9 consequ5ce ! hair falls out or becomes brittle & breaks (f4 ,! follicles1 except 9 long-/&+ cases1 are slightly elevat$ & prom95t1 & ! pat* may h a puff$ or goose-fle% appe>ance4 ,9 addition1 !re is slight scal9ess4 ,describe ! appe>ances ( a typical pat* ( r+worm ( ! scalp4 ,! pat* is r\nd$1 grayi%1 some:at scaly1 & slightly elevat$2 ! follicles are some:at prom95t2 !re is m or less alopecia1 ) "h & !re brok51 gnaw$-(f-look+ hairs1 "s ( :i* may be brok5 (f j at ! outlet ( ! follicles & m or less surr\nd$ by a :iti% or grayi%-:ite du/4 ,?is type is produc$ by ! small-spore fungus--microsporon4 ,does r+worm ( ! scalp always pres5t typical appe>ances8 ,n inv>iably4 ,9 "s cases ! pat* or pat*es may become almo/ completely bald1 & 9 o!rs a t5d5cy to ! =mation ( pu/ules1 ) m or less cru/-=mation1 may be se54 ,! affection may also appe> z small scatt]$ spots or po9ts4 ,illu/ration3 ,fig4 #fi4 ,r+worm 7r inflammatory type1 & produc$ by ! tri*ophyton74 ,! m>k$ly inflammatory & pu/ul> types are produc$ by ! l>ge-spore fungus--tri*ophyton4 ,:at is t9ea k]ion8 ,t9ea k]ion 7k]ion7 is a m>k$ly inflammatory type ( r+worm ( ! scalp involv+ ! deep] tissues1 appe>+ z a m or less bald1 r\nd$1 inflammatory1 oedemat\s1 boggy1 honeycomb$ tumor1 dis*>g+ f ! follicul> op5+s a mucoid secretion4 ,does r+worm ( ! scalp ev] occur 9 adults8 ,no4 7,extremely r>e exceptions47 ,illu/ration3 ,fig4 #gj4 ,r+worm ,fungus 7,tri*ophyton7 x #dej4 7,aft] ,duhr+47 ,z f\nd 9 epid]mic scrap+s ( r+worm1 %[+ mycelium & spores4 ,describe ! symptoms ( r+worm ( ! be>d$ region4 ,r+worm ( ! be>d$ region 7t9ea tri*ophyt9a b>bae1 t9ea sycosis1 p>asitic sycosis1 b>b]'s it*7 beg9s usually 9 ! same mann] z r+worm on o!r p>ts1 z "o or m r\nd$1 slightly scaly1 hyp]aemic pat*es4 ,9 r>e in/ances ! disease may p]si/ z su*1 ) v little t5d5cy to involve ! hairs & follicles2 b1 z a rule1 ! hairy /ructures are soon invad$1 _m ( ! hairs break+ (f1 & _m fall+ out4 ,f involvem5t ( ! follicles1 m or less subcutane\s swell+ ensues1 ! p>ts assum+ a di/9ctly lumpy & nodul> condition4 ,! sk9 is usually consid]ably r$d5$1 (t5 hav+ a glossy appe>ance1 & /udd$ ) few or num]\s pu/ules4 ,! nodules t5d1 ord9>ily1 to break d[n & dis*>ge1 at "o or m ( ! follicul> op5+s1 a glairy1 glut9\s1 purul5t mat]ial1 :i* may dry to ?ick1 adh]5t cru/s4 ,illu/ration3 ,fig4 #ga4 ,r+worm ,fungus 7,microsporon7 x #ejj4 7,aft] ,duhr+47 ,%ort1 brok5-(f hair ( scalp invad$ ) masses ( free spores4 ,! disease may be limit$ to "o pat*1 or a l>ge area1 ev5 to ! ext5t ( ! :ole be>d$ region1 becomes involv$4 ,! upp] lip is r>ely invad$4 ,r+worm ( ! be>d$ region is due to ! tri*ophyton4 ,illu/ration3 ,fig4 #gb4 ,r+worm ,fungus 7,tri*ophyton7 x #cjj4 7,aft] ,duhr+47 ,%ort1 /\t hair ( be>d1 ) ! root-%ea? atta*$1 %[+ free spores & *a9s ( spores4 ,to :at is r+worm due8 ,to ! pres5ce & gr[? 9 ! cutane\s /ructures ( a vegetable p>asite4 ,al?\gh ! disease is contagi\s1 individuals diff] consid]ably z to susceptibility4 ,x is mu* m common 9 *ildr5 ?an 9 ^? pa/ ! age ( pub]ty1 r+worm ( ! scalp be+ limit$ to ! =m] 7r>e exceptions71 & t9ea sycosis be+ a disease ( ! male adult4 ,until rec5tly ! r+worm 0 ?\ght to be due to b "o fungus--! tri*ophyton2 x is n[ kn[n t !re are sev]al =ms ( fungi1 ! ma9 =ms be+ ! small-spor$ 7microsporon ,aud\9i7 & ! l>ge-spor$ 7tri*ophyton74 ,( ?is latt] !re are two ma9 subv>ieties--endo?rix & ecto?rix4 ,! small-spor$ fungus is f\nd z ! cause 9 ! majority ( scalp cases2 ! endo?rix also commonly invades ! scalp integum5t4 ,! ecto?rix v>iety is usually d]iv$ directly or indirectly f dome/ic animals1 & is *iefly responsible = body-r+worm1 & = suppurative r+worm1 :e!r ^u ! be>d$ region or else:]e4 ,:at is ! pa?ology ( r+worm8 ,on ! g5]al surface ! fungus has its seat 9 ! epid]mis1 especially 9 ! corne\s lay]2 ^u ! scalp & be>d$ region ! epid]mis1 hair-%aft1 root & follicle are invad$4 ,! inflammatory action may v>y consid]ably 9 diff]5t cases1 & at diff]5t times 9 ! same case4 ,! fungus consi/s ( mycelium & spores4 ,9 ! epid]mic scrap+s x is nev] to be f\nd 9 abundance1 & ! mycelium pr$om9ates1 :ile 9 affect$ hairs ! spores & *a9s ( spores are almo/ exclusively se51 & are usually pres5t 9 great pr(usion4 ,h[ d y exam9e = ! fungus8 ,! scrap+s or hair %\ld be moi/5$ ) liquor potassae1 & exam9$ ) a p[] f ?ree hundr$ diamet]s upw>d4 ,h[ is r+worm ( ! g5]al surface to be di/+ui%$ f eczema1 psoriasis & seborrhoea8 ,by ! gr[? & *>act]s ( ! pat*1 ! slight scal9ess1 ! t5d5cy to disappe> 9 ! c5tre1 by ! hi/ory1 &1 if necess>y1 by a microscopic exam9ation ( ! scales4 ,h[ is r+worm ( ! scalp to be di/+ui%$ f alopecia areata1 favus1 eczema1 seborrhoea1 & psoriasis8 ,by ! peculi> cl9ical features ( r+worm on ?is region--! slight scal9ess1 brok5 hair & hair /umps1 ) a c]ta9 am\nt ( baldness--& 9 d\btful cases by a microscopical exam9ation ( ! hairs4 ,9 favus1 al?\gh ! same condition ( ! hair is not$1 ! yell[1 cup-%ap$ cru/s1 & ! pres5ce ( ! atrophic areas 9 t disease are pa?ognomonic4 ,h[ is r+worm ( ! be>d$ region to be di/+ui%$ f eczema & sycosis8 ,by ! peculi> lump9ess ( ! p>ts1 ! brittl5ess ( ! hair1 m or less hair loss1 & ! hi/ory4 ,! sup]ficial type ( r+worm sycosis--^? cases 9 :i* ! disease rema9s a surface disease--is readily di/+ui%$1 z ! symptoms are ess5tially ! same z r+worm ( non-hairy p>ts1 except t "s ( ! hairs 9 ! areas may become invad$ & break (f or fall out4 ,9 d\btful cases rec\rse may be _h to microscopical exam9ation4 ,:at is ! prognosis ( r+worm ( ^! sev]al p>ts8 ,:5 ^u ! g5]al surface1 ! disease usually responds rapidly to !rapeutical applications2 ^u ! scalp x is always a /ubborn affection1 &1 z a rule1 requires sev]al mon?s to a ye> ( en]getic treatm5t to effect a cure4 ,9 ?is latt] region ! disease w disappe> spontane\sly z ! age ( fifte5 or sixte5 is rea*$4 ,t9ea sycosis yields 9 mo/ in/ances 9 ! c\rse ( sev]al weeks or a few mon?s4 ,is r+worm ( ^! sev]al p>ts treat$ ) ! same rem$ies8 ,z a rule1 yes2 b ! /r5g? mu/ be modifi$4 ,! scalp w /& /rong applications1 z w likewise ! be>d$ region2 ^u non-hairy portions ! rem$ies %\ld be us$ some:at weak]4 ,!y %\ld be appli$ twice daily2 o9tm5ts1 if us$1 be+ well rubb$ 91 & lotions ?or\ghly dabb$ on4 ,h[ w\ld y treat r+worm ( ! g5]al surface8 ,by applications ( ! mild] p>asiticides1 su* z a t5 to fifte5 p] c5t4 solution ( sodium hyposulphite2 c>bolic acid1 five to ?irty gra9s to ! ounce ( wat]1 or l>d2 a saturat$ solution ( boric acid2 o9tm5ts ( t>1 sulphur & m]cury1 (ficial /r5g? or weak5$ ) l>d2 & t9cture ( iod9e1 pure or dilut$4 ,:5 occurr+ ^u ! upp] & inn] "p ( ! ?ighs 7s-call$ eczema m>g9atum71 ! same rem$ies are to be employ$1 b usually /rong]4 ,des]v+ ( special m5tion is a lotion ( corrosive sublimate1 "o to f\r gra9s to ! ounce2 or ! same rem$y1 9 ! same proportion1 may be us$ 9 t9cture ( myrrh or b5zo91 & pa9t$ on ! p>ts4 ,h[ w\ld y treat r+worm ( ! scalp8 ,by occasional soap-&-hot-wat] wa%+2 by extraction ( ! involv$ hairs1 :5 practicable2 by c>bolic acid or boric acid lotions to ! :ole scalp1 s z to limit1 z mu* z possible1 ! spread ( ! disease2 & by daily 7or twice daily7 applications to ! pat*es & involv$ areas ( a p>asiticide4 ,! foll[+ are ! mo/ valuable3 ! oleate ( m]cury1 ) l>d or lanol91 9 v>y+ /r5g?1 f t5 to tw5ty p] c5t42 c>bolic acid1 ) "o to ?ree or m p>ts ( glyc]9e or oil2 corrosive sublimate1 9 solution 9 alcohol & wat]1 "o to f\r gra9s to ! ounce2 sulphur o9tm5t2 & citr9e o9tm5t1 ) "o or two p>ts ( l>d4 ,*rys>ob9 is a valuable rem$y1 b is to be employ$ ) c>e2 x may be prescrib$ z a rubb] pla/]1 or 9 a solution ( gutta-p]*a1 or z an o9tm5t1 t5 to fifte5 p] c5t4 /r5g?4 beta-naph?ol 9 o9tm5t =m1 five to fifte5 p] c5t4 /r5g?1 is also useful4 ,an excell5t application = beg9n+ areas on ! scalp is a solution ( ! r$ iodide ( m]cury 9 iod9e t9cture1 "o to ?ree gra9s to an ounce4 ,a comp\nd o9tm5t1 conta9+ sev]al ( ! active rem$ies nam$1 is conv5i5t = disp5s>y practice1 su* z3-- ,rx beta-naph?ol1 44444444444444444 dramss-dramj ,ol4 cad9i1 4444444444444444444444444 dramj ,ungt4 sulphuris1 444444444444 q4s4 ad ,ozj4 ,m4 ,9 t =m kn[n z t9ea k]ion mild applications are dem&$ at fir/2 lat] ! same treatm5t z 9 ! ord9>y type4 ,h[ is r+worm ( ! be>d$ region to be treat$8 ,on ! same g5]al plan & ) ! same rem$ies 7except+ *rys>ob97 z 9 r+worm ( ! scalp4 ,depilation is to be practis$ z an ess5tial "p ( ! treatm5t4 ,special m5tion may be made ( an o9tm5t ( oleate ( m]cury1 sulphur o9tm5t1 a lotion ( sodium hyposulphite 7dramj-,ozj71 & a lotion ( corrosive sublimate 7gr4 j-iv to ,ozj74 ,! x-ray has be5 us$ 9 r+worm ( ?is region ) alleg$ success1 pu%+ x to ! production ( a mild ery!ma & depilation4 ,! above me?ods are1 h[ev]1 usually successful1 & are )\t risk ( damage4 ,h[ is ! c]ta9ty ( an app>5t cure 9 r+worm ( ! scalp or be>d$ region to be det]m9$8 ,by ! cont9u$ abs5ce ( r\ghness & ( brok5 hairs & /umps1 & by microscopical exam9ation ( ! new-gr[+ hairs f "t to "t = sev]al weeks aft] discont9uance ( treatm5t4 ,cure ( r+worm ( ! g5]al surface is usually self-evid5t4 ,is sy/emic treatm5t ( aid 9 ! cure ( r+worm8 ,x is d\btful1 al?\gh 9 *ildr5 9 a deprav$ /ate ( heal? ! disease is (t5 not$ to be especially /ubborn1 & 9 su* cod-liv] oil & simil> rem$ies may at times prove ( b5efit4 ,t9ea ,imbricata4 7,synonym3 ,tokelau ,r+worm47 ,:at is t9ea imbricata8 ,a vegetable p>asitic disease ( moi/ tropical c\ntries1 *>act]iz$ by ! =mation ( pat*es compos$ ( conc5trically arrang$1 imbricat$1 scaly r+s4 ,x may beg9 at "o or sev]al po9ts z a br[ni%1 slightly rais$ spot1 spread+ p]iph]ally2 ! r5ew$ epid]mis ( ! c5tral "p ( ! pat* goes aga9 ?r\gh ! same process2 ! result is a small or l>ge area ( conc5trically arrang$1 imbricat$1 slightly scaly eruption4 ,sev]al su* areas fus+ toge!r may cov] a l>ge "p ( ! surface1 ! r+-l arrangem5t be+ sometimes m or less completely lo/4 ,! malady is *ronic4 ,!re may be a v>iable degree ( it*+4 ,! cause ( ! disease1 :i* is ( a contagi\s nature1 is a vegetable p>asite closely simil> to ! tri*ophyton4 ,! treatm5t is by ! p>asiticides1 be+ ess5tially ! same1 9 fact1 z r+worm4 ,t9ea ,v]sicolor4 7,synonyms3 ,pityriasis ,v]sicolor2 ,*romophytosis47 ,:at is t9ea v]sicolor8 ,t9ea v]sicolor is a vegetable-p>asitic disease ( ! sk91 *>act]iz$ by v>i\sly-siz$ & %ap$1 slightly scaly1 macul> pat*es ( a yell[i%-fawn color1 & occurr+ = ! mo/ "p ^u ! upp] portion ( ! trunk4 ,describe ! symptoms ( t9ea v]sicolor4 ,! disease beg9s z "o or m yell[i% macul> po9ts2 ^!1 9 ! c\rse ( weeks or mon?s1 gradually ext5d1 &1 toge!r ) o!r pat*es t arise1 may =m a m or less cont9u\s %eet ( eruption4 ,!re is slight scal9ess1 always insignificant & furfurace\s 9 "*1 & at times1 except ^u close inspection1 sc>cely p]ceptible4 ,! color ( ! pat*es is pale or br[ni%-yell[2 9 r>e in/ances1 9 ^? ( delicate sk91 !re may be m or less hyp]aemia1 & 9 consequ5ce ! eruption is ( a r$di% t+e4 ,! numb] ( pat*es v>ies2 !re may be b a few1 or1 on ! o!r h&1 a pr(usion4 ,slight it*+1 especially :5 ! p>ts are w>m1 is usually pres5t4 ,does ! eruption ( t9ea v]sicolor %[ pr$ilection = any special region8 ,yes2 ! upp] "p ( ! trunk1 especially ant]iorly1 is ! usual seat ( ! eruption1 b 9 exceptional in/ances ! neck1 axillae1 ! arms1 ! :ole trunk1 ! g5itocrural region & poplitea1 & 9 r>e cases ev5 ! l[] "p ( ! face1 may become invad$4 ,:at c\rse does t9ea v]sicolor pursue8 ,p]si/5t1 b some:at v>iable2 z a rule1 h[ev]1 sl[ly progressive & la/+ = ye>s4 ,to :at is t9ea v]sicolor due8 ,to a vegetable fungus--! microsporon furfur4 ,! affection is tol]ably common1 & occurs 9 all p>ts ( ! _w4 ,) r>e exceptions1 x is a disease ( adults1 & :ile look$ ^u z contagi\s1 mu/ be s to an extremely slight degree4 ,illu/ration3 ,fig4 #gc4 ,microsporon ,furfur x #djj4 7,aft] ,duhr+47 ,%[+ mycelium 9 v>i\s /ages ( developm5t1 gr\ps ( spores & free spores4 ,:at is ! pa?ology8 ,! fungus1 consi/+ ( mycelium & spores1 ! latt] %[+ a m>k$ t5d5cy to aggregate1 invades ! sup]ficial portion ( ! epid]mis4 ,is t9ea v]sicolor readily diagno/icat$8 ,yes2 if ! color1 peculi> *>act]s & di/ribution ( ! eruption are kept 9 m9d4 ,x is n to be conf\nd$ ) vitiligo1 *loasma1 or ! macul> syphilod]m4 ,if 9 d\bt1 h rec\rse to ! microscope4 ,/ate ! me?od ( exam9ation = fungus4 ,! scrap+s are tak5 f a pat*1 moi/5$ ) liquor potassae1 & exam9$ ) a p[] ( ?ree to five hundr$ diamet]s4 ,/ate ! prognosis ( t9ea v]sicolor4 ,) prop] managem5t ! disease is readily curable4 ,relapses are n uncommon4 ,illu/ration3 ,fig4 #gd4 ,t9ea v]sicolor4 ,:at is ! treatm5t ( t9ea v]sicolor8 ,x consi/s 9 daily wa%+ ) soap & hot wat] 7& 9 ob/9ate cases ) sapo viridis in/ead ( ! ord9>y soap7 & application ( a lotion (--sulphite or hyposulphite ( sodium1 a dra*m to ! ounce2 sulphur\s acid1 pure or dilut$2 c>bolic acid1 or resorc91 t5 to tw5ty gra9s to ! ounce ( wat] & alcohol2 or corrosive sublimate1 "o to ?ree gra9s to ! ounce ( wat]4 ,sulphur & ammoniat$-m]cury o9tm5ts are also s]viceable4 ,! foll[+ us$ alone1 simply z a soap1 or 9 conjunction ) a lotion1 is (t5 ( special value3-- ,rx ,sulphur1 praecip41 44444444444444444444 dramiv ,saponis viridis1 444444444444444444444 dramxii4 ,m4 ,aft] ! disease is app>5tly cur$1 an occasional rem$ial application %\ld be made = sev]al mon?s1 9 ord] to gu>d aga9/ ! possibility ( a relapse4 ,ery?rasma4 ,describe ery?rasma4 ,ery?rasma is an extremely r>e disease1 due to ! pres5ce & gr[? 9 ! epid]mic /ructures ( ! vegetable p>asite--! microsporon m9utissimum4 ,x is *>act]iz$ by small & l>ge1 slightly furfurace\s1 r$di%-yell[ or r$di%-br[n pat*es1 occurr+ usually on w>m & moi/ p>ts1 su* z ! axill>y1 +u9al1 anal & g5itocrural regions4 ,x is sl[ly progressive & p]si/5t1 b is )\t di/urb+ symptoms o!r ?an occasional slight it*+4 ,illu/ration3 ,fig4 #ge4 ,microsporon ,m9utissimum x #ajjj4 7,aft] ,riehl47 ,treatm5t1 :i* is rapidly effective1 is ! same z t employ$ 9 t9ea v]sicolor4 ,dhobie ,it*4 ,dhobie it* is a "n us$ 9 c]ta9 tropical c\ntries to designate a some:at peculi> it*+ eruption ( ! g5itocrural & axill>y regions1 & by "s also a simil> eruption ab\t ! feet4 ,x consi/s ( a d]matitis ( v>iable degree1 usually ) a fe/oon$1 irregul> bord]1 ) consid]able it*+4 ,x is believ$ t su* cases are v>i\sly due to ! tri*ophyton ( r+worm1 to ! microsporon furfur ( t9ea v]sicolor1 to ! microsporon m9utissimus ( ery?rasma1 & to o!r p>asites4 ,act9omycosis4 ,describe act9omycosis4 ,act9omycosis ( ! sk9 is an affection due to ! ray fungus1 & *>act]iz$ by a sluggi%1 r$1 nodul>1 or lumpy infiltration1 usually ) a t5d5cy to break d[n & =m s9uses4 ,! affection may involve almo/ any "p1 b its mo/ common site is ab\t ! jaw1 neck1 & face4 ,z a rule1 ! fir/ evid5ce is a h>d subcutane\s swell+ or infiltration1 :i* may increase slightly or consid]ably4 ,! ov]ly+ sk9 gradually becomes ( a sluggi% or d>k-r$ color4 ,s(t5+ ensues1 & ! diseas$ area breaks d[n at "o or m po9ts1 f :i* !re oozes a dis*>ge ( a s]o-purul5t1 purul5t1 or sangu9ol5t "*4 ,9 ?is dis*>ge c be usually not$ m9ute1 friable1 yell[i% or yell[i%-gray bodies repres5t+ conglom]ate collections ( ! causative fungus4 ,! c\rse ( ! malady is commonly sl[ & insidi\s4 ,unless sy/emic pyemic infection occurs or ! fungus elem5ts f9d _! way to ! deep] organs or /ructures ! g5]al heal? rema9s app>5tly undi/urb$4 ,:at is ! treatm5t8 ,! adm9i/ration ( mod]ate to l>ge doses ( potassium iodide1 conjo9tly ) curett+ or excision ( ! diseas$ mass4 ,local applications ( iod9e solution c also be tri$4 ,bla/omycetic ,d]matitis4 ,:at d y und]/& by bla/omycetic d]matitis8 ,bla/omycetic d]matitis is a r>e disease beg9n+ usually z a small papule or nodule1 enl>g+ sl[ly1 break+ d[n & develop+ into a v]ruc\s or papillomat\s-look+ area1 simil> 9 appe>ance to tub]culosis cutis v]rucosa4 ,a muco-purul5t or purul5t secretion c visually be press$ out f betwe5 ! papillomat\s elevations4 ,x may also pres5t ! appe>ance ( a s]pig9\s lupus vulg>is or syphilod]m4 ,z a rule x is sl[ 9 its c\rse4 ,furuncul> or abscess-l =mations may develop1 usually f second>y infection4 ,! disease is due to ! invasion ( ! cutane\s tissues by ! bla/omyces4 ,illu/ration3 ,bla/omycetic d]matitis4 ,treatm5t consi/s 9 adm9i/ration ( mod]ate to l>ge doses ( potassium iodide1 & 9 ! employm5t ( antiseptic & p>asiticide applications2 usually1 h[ev]1 radical treatm5t1 su* z employ$ 9 lupus vulg>is1 may be necess>y4 ,scabies4 7,synonym3 ,! ,it*47 ,:at is scabies8 ,scabies1 or it*1 is a contagi\s animal-p>asitic disease *>act]iz$ by a multi=m eruption ( a some:at peculi> di/ribution1 att5d$ by int5se it*+4 ,describe ! symptoms ( scabies4 ,! p5etration & pres5ce ( ! p>asites )9 ! cutane\s /ructures besides (t5 giv+ rise to sev]al or m complete or imp]fectly =m$ burr[s1 excite v>y+ degrees ( irritation1 & 9 consequ5ce ! =mation ( vesicles1 papules & pu/ules1 accompani$ ) m or less int5se it*+4 ,second>ily1 cru/+1 & at times a mild or sev]e grade ( d]matitis1 may be br\ght ab\t4 ,! p>asite seeks pref]ably t5d] & protect$ situations1 z betwe5 ! f+]s1 on ! wri/s1 especially ! flexor surface1 9 ! folds ( ! axilla1 on ! abdom51 ab\t ! anal fissure1 ab\t ! g5italia1 & 9 females also ab\t ! nipples1 & h5ce ! eruption is mo/ abundant ab\t ^! regions4 ,! inside ( ! ?ighs & ! feet are also attack$1 z1 inde$1 may be almo/ e portion ( ! body4 ,! scalp & face are n involv$2 exceptionally1 h[ev]1 ^! p>ts are invad$ 9 infants & "y *ildr54 ,is ! grade ( cutane\s irritation ! same 9 all cases ( scabies8 ,no2 9 ^? ( great cutane\s irritability1 especially 9 *ildr51 ! sk9 be+ m t5d]1 ! type ( ! eruption is usually mu* m inflammatory4 ,9 ^? pr$ispos$ a true eczema may arise1 & !n1 9 addition to ! *>act]i/ic lesions ( scabies1 eczemat\s symptoms are sup]add$2 9 long-p]si/5t cases1 inde$1 ! burr[s & o!r consequ5t lesions may be m or less completely mask$ by ! eczemat\s inflammation1 & ! true nature ( ! disease be greatly obscur$4 ,:at d y mean by burr[s8 ,burr[s1 or cuniculi1 are tortu\s1 /raight or zigzag1 dott$1 slightly elevat$1 d>k-gray or blacki% ?read-l l9e> =mations1 v>y+ 9 l5g? f an eigh? to a half an in*4 ,illu/ration3 ,fig4 #gf4 ,burr[1 or cuniculus1 greatly magnifi$4 7,aft] ,kaposi47 ,%[+ ! mite1 ova1 empty %ells & excrem5t4 ,h[ is a burr[ =m$8 ,by ! impregnat$ female p>asite1 :i* p5etrates ! epid]mis obliquely to ! rete1 deposit+ z x goes along t5 or fifte5 ova1 =m+ a m9ute passage or burr[4 ,^u :at p>ts are burr[s mo/ commonly to be f\nd8 ,9 ! int]digital spaces1 on ! flexor surface ( ! wri/s1 ab\t ! mammae 9 ! female1 & on ! %aft ( ! p5is 9 ! male4 ,are burr[s usually pres5t 9 numb]s8 ,no4 ,sev]al may be f\nd 9 a s+le case1 b !y are r>ely num]\s1 z ! irritation caus$ by ! p5etration ( ! p>asites leads ei!r to viol5t scrat*+ & _! de/ruction1 or gives rise to ! =mation ( vesicles & pu/ules1 & consequ5tly _! =mation is prev5t$4 ,:at c\rse does scabies pursue8 ,*ronic & progressive1 %[+ no t5d5cy to spontane\s disappe>ance4 ,to :at is scabies due8 ,to ! invasion ( ! cutane\s /ructures by an animal p>asite1 ! s>coptes scabiei 7ac>us scabiei74 ,! male mite is nev] f\nd 9 ! sk9 & app>5tly takes no direct "p 9 ! production ( ! symptoms4 ,illu/ration3 ,fig4 #gg4 ,fig4 #gh4 ,s>coptes scabiei x #ajj4 7,aft] ,duhr+47 ,female4 ,v5tral surface4 ,male4 ,! disease is contagi\s to a m>k$ degree1 & is mo/ commonly contract$ by sleep+ ) ^? affect$1 or by occupy+ a b$ 9 :i* an affect$ p]son has slept4 ,x occurs1 = obvi\s reasons1 usually among ! poor1 al?\gh x is n[ q frequ5tly met ) among ! bett] classes4 ,/ate ! diagno/ic features ( scabies4 ,! burr[s1 ! peculi> di/ribution & ! multi=mity ( ! eruption1 ! progressive developm5t1 & usually a hi/ory ( contagion4 ,h[ d vesicul> & pu/ul> eczema diff] f scabies8 ,eczema is usually limit$ 9 ext5t1 or irregul>ly di/ribut$1 is di/9ctly pat*y1 ) (t5 ! =mation ( l>ge diffus$ areas2 x is v>iable 9 its cl9ical behavior1 bett] & worse f "t to "t1 & diff]s1 moreov]1 9 ! abs5ce ( burr[s & ( a hi/ory ( contagion4 ,h[ does p$iculosis corporis diff] f scabies8 ,9 ! di/ribution ( ! eruption4 ,! p$iculi live 9 ! clo?+ & g to ! sk9 solely = n\ri%m5t1 & h5ce ! eruption 9 t condition is ^u cov]$ p>ts1 especially ^? p>ts ) :i* ! clo?+ lies closely 9 contact1 z ar\nd ! neck1 across ! upp] "p ( ! back1 ab\t ! wai/ & d[n ! outside ( ! ?ighs2 ! h&s are free4 ,/ate ! prognosis ( scabies4 ,x is favorable4 ,! disease is readily cur$1 &1 z soon z ! p>asites & _! ova are de/roy$1 ! it*+ & ! second>y symptoms1 z a rule1 rapidly disappe>4 ,h[ is scabies treat$8 ,treatm5t is entirely ext]nal1 & consi/s ( a prelim9>y soap-&-hot-wat] ba?1 an application1 twice daily = ?ree days1 ( a rem$y de/ructive to ! p>asites & ova1 & f9ally ano!r ba?4 ,inquiry z to o!rs ( ! family %\ld be made1 &1 if affect$1 treat$ at ! same "t4 ,! we>+ app>el %\ld be look$ aft]--boil$1 bak$1 or sulphur-fumigat$4 ,:at rem$ial applications are employ$ 9 scabies8 ,sulphur1 balsam ( ,p]u1 /yrax1 & beta-naph?ol1 s+ly or sev]ally comb9$4 ,9 *ildr51 or 9 ^? ( s5sitive sk91 ! foll[+3-- ,rx ,sulphur4 praecip41 44444444444444444444 dramiv ,balsam4 ,p]uv41 4444444444444444444444 dramij ,adipis1 ,petrolati1 444444444 aa 44444444 ,oziss4 ,m4 ,& 9 adults1 or ^? ( non-irritable sk93-- ,rx ,sulphur1 praecip41 44444444444444444444 ,ozj ,balsam4 ,p]uv41 4444444444444444444444 ,ozss beta-,naph?ol1 444444444444444444444 dramij ,adipis1 ,petrolati1 444 aa 444 q4s4 ad 44 ,oziv4 ,m4 ,/yrax is a rem$y ( value & is commonly employ$ z an o9tm5t 9 ! /r5g? ( "o "p to two or ?ree p>ts ( l>d4 ,is "o su* c\rse ( treatm5t suffici5t to br+ ab\t a cure8 ,yes1 9 ord9>y cases1 if ! applications h be5 c>efully & ?or\ghly made2 exceptionally1 h[ev]1 "s p>asites & ova escape de/ruction1 & consequ5tly it*+ w aga9 beg9 to %[ itself at ! end ( a week or t5 days1 & a repetition ( ! treatm5t become necess>y4 ,does ! second>y d]matitis :i* is always pres5t 9 sev]e cases require treatm5t8 ,only :5 x is unusually p]si/5t or sev]e2 9 su* cases ! v>i\s soo?+ applications1 lotions or o9tm5ts employ$ 9 acute eczema are to be prescrib$4 ,is a d]matitis due to too active & prolong$ treatm5t ev] mi/ak5 = p]si/5ce ( ! scabies8 ,yes4 ,p$iculosis4 7,synonyms3 ,ph!iriasis2 ,l\s9ess47 ,def9e p$iculosis4 ,p$iculosis is a t]m appli$ to t condition ( local or g5]al cutane\s irritation due to ! pres5ce ( ! animal p>asite1 ! p$iculus1 or l\se4 ,"n ! sev]al v>ieties met )4 ,?ree v>ieties are pres5t$1 nam$ accord+ to ! p>ts involv$1 p$iculosis capitis1 p$iculosis corporis1 & p$iculosis pubis2 ! p>asite 9 ea* be+ a di/9ct species ( p$iculus4 ,p$iculosis ,capitis4 ,describe ! symptoms ( p$iculosis capitis4 ,p$iculosis capitis 7p$iculosis capillitii71 due to ! pres5ce ( ! p$iculus capitis1 occurs mu* m frequ5tly 9 *ildr5 ?an 9 adults4 ,x is *>act]iz$ by m>k$ it*+1 & ! =mation ( v>i\s inflammatory lesions1 su* z papules1 pu/ules & excoriations--result+ f ! irritation produc$ by ! p>asites & f ! scrat*+ to :i* ! int5se pruritus gives rise4 ,9 fact1 an eczemat\s eruption ( ! pu/ul> type soon results1 att5d$ ) m or less cru/ =mation4 ,9 consequ5ce ( ! cutane\s irritation ! neighbor+ lymphatic gl&s may become inflam$ & swoll51 & 9 r>e cases suppurate4 ,! occipital region is ! "p :i* is usually mo/ pr(usely infe/$1 m especially 9 "y girls & wom54 ,9 ^? ( delicate sk91 especially 9 *ildr51 scatt]$ papules1 vesico-papules1 pu/ules1 & excoriations may (t5 be se5 ^u ! =ehead & neck4 ,9 "s in/ances1 h[ev]1 especially 9 boys1 !re may be _m p$iculi pres5t1 ) b little cutane\s di/urbance1 ! it*+ be+ ! sole symptom4 ,illu/ration3 ,fig4 #gi4 ,p$iculus ,capitis x #be4 7,aft] ,duhr+47 ,female4 ,dorsal surface4 ,9 addition to ! p$iculi1 :i*1 z a rule1 may be readily f\nd1 _! ova1 or nits1 are always to be se5 ^u ! %aft ( ! hairs1 q firmly atta*$4 ,describe ! appe>ance ( ! ova4 ,!y are dirty-:ite or grayi% look+1 m9ute1 pe>-%ap$ bodies1 visible to ! nak$ eye1 & fa/5$ ^u ! %aft ( ! hairs ) ! small end t[>d ! root4 ,illu/ration3 ,fig4 #hj4 ,ova ( ! head-l\se atta*$ to a hair4 ,magnifi$4 7,aft] ,kaposi47 ,is !re any difficulty 9 ! diagnosis ( p$iculosis capitis8 ,no4 ,! diagnosis is readily made1 z ! p$iculi are usually to be f\nd )\t difficulty1 & ev5 :5 !y exi/ 9 small numb]s & are n readily discov]$1 ! pres5ce ( ! ova w indicate ! nature ( ! affection4 ,pu/ul> eruptions ^u ! scalp1 especially po/]iorly1 %\ld always ar\se a suspicion ( p$iculosis4 ,! possibility ( ! p$iculosis be+ second>y to eczema mu/ n be =gott54 ,:at is ! treatm5t ( p$iculosis capitis8 ,treatm5t consi/s 9 ! application ( "s rem$y de/ructive to ! p$iculi & _! ova4 ,crude petroleum is effective1 "o or two ?or\gh applications ov] night be+ usually suffici5t2 9 ord] to less5 its inflammability1 & also to mask its some:at disagreeable odor1 x may be mix$ ) an equal "p ( olive oil & a small quantity ( balsam ( ,p]u add$4 ,t9cture ( cocculus indicus1 pure or dilut$1 may also be appli$ ) good results4 ,:5 ! p>ts are m>k$ly eczemat\s1 an o9tm5t ( ammoniat$ m]cury or beta-naph?ol1 ?irty to sixty gra9s to ! ounce may be us$4 ,daily %ampoo+ ) soap & wat]1 & ! twice daily application ( a five p] c5t4 c>bolic acid lotion1 toge!r ) ! use ( a f9e-too!d comb1 is a safe & effici5t me?od = disp5s>y practice2 z x is1 inde$1 = any class ( pati5ts4 ,h[ are ! ova or _! %ells to be remov$ f ! hair8 ,by ! frequ5t use ( acid or alkal9e lotions1 su* z dilute acetic acid & v9eg>1 or solutions ( sodium c>bonate & borax4 ,p$iculosis ,corporis4 ,describe ! symptoms ( p$iculosis corporis4 ,p$iculosis corporis is dep5d5t ^u ! pres5ce ( ! p$iculus corporis 7p$iculus ve/im5ti71 a l>g] v>iety ?an t infe/+ ! scalp4 ,x is *>act]iz$ by m or less g5]al it*+1 toge!r ) v>i\s inflammatory lesions & excoriations4 ,z ! p>asites are to be f\nd *iefly 9 ! folds & seams ( ! clo?+1 visit+ ! sk9 = ! purpose ( fe$+1 ! v>i\s symptoms--! m9ute hemorrhagic puncta %[+ ! po9ts at :i* !y h be5 suck+1 & ! consequ5t papules1 pu/ules & excoriations--are1 !re=e1 to be f\nd mo/ abundantly on ^? p>ts ) :i* ! clo?+ comes closely 9 contact1 z1 = in/ance1 ar\nd ! neck1 across ! %\ld]s1 ar\nd ! wai/1 & d[n ! outside ( ! ?ighs4 ,x is uncommon 9 *ildr54 ,illu/ration3 ,fig4 #ha4 ,p$iculus ,corporis x #be4 7,aft] ,duhr+47 ,female4 ,dorsal surface4 ,/ate ! diagno/ic *>act]s ( p$iculosis corporis4 ,! pres5ce ( ! m9ute hemorrhagic puncta1 ! multi=m "* & peculi> di/ribution ( ! eruption4 ,c>eful se>* w almo/ inv>iably disclose "o or m p$iculi4 ,:at is ! treatm5t ( p$iculosis corporis8 ,! clo?+ & b$-cov]+s are to be ?or\ghly bak$ or boil$1 ! p$iculi & _! ova be+ 9 ?is mann] de/roy$2 a ?ymol or c>boliz$ boric-acid lotion may be us$ to relieve ! cutane\s irritation4 ,:5 att5tion to ! we>+ app>el is n imm$iately practicable1 o9tm5ts ( sulphur & /aphisagria1 & lotions ( c>bolic acid1 may be advis$ z tempor>y measures4 ,! we>+ ( a bag ( loosely wov5 texture conta9+ "s lump sulphur next to ! sk9 is useful 9 su* cases2 at ! temp]ature ( ! body ! sulphur und]goes sl[ oxidation4 ,9 hairy individuals ! malady is (t5 p]si/5t1 due to ! fact t ova h become atta*$ to ! hair & a new prog5y soon hat*$ out4 ,cont9u$ treatm5t ov] a few weeks w usually suffice to rid ! pati5t ( _! pres5ce4 ,p$iculosis ,pubis4 ,describe ! symptoms ( p$iculosis pubis4 ,p$iculosis pubis is a condition due to ! pres5ce ( ! p$iculus pubis1 or crab-l\se4 ,x is *>act]iz$ by m or less it*+ ab\t ! g5italia1 toge!r ) papules1 excoriations1 & o!r inflammatory lesions4 ,! am\nt ( irritation v>ies2 x may be slight1 or1 on ! o!r h&1 sev]e4 ,! p>asite1 :i* is ! smalle/ ( ! ?ree v>ieties1 may be discov]$ ^u close exam9ation seat$ ne> ! roots ( ! hairs1 clut*+ ! hair1 ) its head d[nw>d & buri$ 9 ! follicle4 ,! ova may be se5 atta*$ to ! hair-%afts4 ,x infe/s adults *iefly1 be+ 9 _m in/ances probably contract$ ?r\gh sexual int]c\rse4 ,is ! p$iculus pubis f\nd ^u any o!r "p ( ! body8 ,yes4 ,al?\gh its favorite habitat is ! region ( ! pubes1 x may1 9 exceptional in/ances1 also infe/ ! axillae1 ! /]nal region ( ! male1 ! be>d1 eyebr[s1 & ev5 ! eyela%es4 ,/ate ! diagno/ic *>act]s ( p$iculosis pubis4 ,! region involv$1 it*+1 v>iable am\nt ( irritation1 &1 above all1 ! pres5ce ( ! p$iculi & _! ova4 ,illu/ration3 ,fig4 #hb4 ,p$iculus ,pubis x #be4 7,aft] ,duhr+47 ,female4 ,dorsal surface4 ,"n sev]al applications prescrib$ = p$iculosis pubis4 ,a lotion ( corrosive sublimate1 "o to f\r gra9s to ! ounce2 infusion ( tobacco2 a t5 to tw5ty p] c5t4 o9tm5t ( oleate ( m]cury2 ammoniat$ m]cury o9tm5t1 & a five to t5 p] c5t4 beta-naph?ol o9tm5t4 ,repeat$ wa%+s ) v9eg> or dilute acetic acid1 or ) alkal9e lotions1 w free ! hairs ( ! ova4 ,cy/ic]cus ,cellulosae4 ,describe ! cutane\s di/urbance produc$ by ! cy/ic]cus cellulosae4 ,! pres5ce ( cy/ic]ci 9 ! sk9 & subcutane\s tissue gives rise to pea to hazelnut-siz$1 r\nd$1 firm1 movable tumors :i*1 :5 develop$1 may rema9 un*ang$ = mon?s4 ,! p>asites are disclos$ by microscopic exam9ation4 ,mo/ ( ! cases h be5 obs]v$ 9 ,g]many4 ,fil>ia ,m$95sis4 7,synonym3 ,gu9ea-worm47 ,/ate ! "* ( ! lesions produc$ by ! fil>ia m$95sis4 ,! "y microscopic worm p5etrates ! sk9 or deep] tissue1 :]e x gr[s gradually1 f9ally rea*+ sev]al in*es or m 9 l5g? & ab\t a half-l9e 9 ?ickness2 inflammation is excit$ & a tumor-l swell+ makes its appe>ance1 :i*1 soon] or lat]1 breaks1 disclos+ ! worm4 ,x may also pres5t a cord-l appe>ance4 ,x is r>ely met ) outside ( tropical c\ntries4 ,treatm5t consi/s 9 gradual extraction1 or 9 ! injection ( a corrosive sublimate solution 7#a3ajjj7 into ! =m+ tumor4 ,asafetida int]nally has be5 f\nd to be curative1 ! p>asite be+ de/roy$ & subsequ5tly absorb$ or dis*>g$4 ,ixodes4 7,synonym3 ,wood-tick47 ,/ate ! "* ( ! cutane\s di/urbance produc$ by ! ixodes4 ,! tick /icks its proboscis into ! sk9 & sucks blood until x is sev]al times its natural size1 & !n falls (f2 an urtic>ial lesion results4 ,if caught 9 ! act ! animal %\ld n be =cibly extract$1 z its proboscis may be ?us brok5 (f & rema9 9 ! sk91 & give rise to pa9 & inflammation4 ,x may be made to rel9qui% its hold by plac+ on x a drop ( an ess5tial oil4 ,a ?ymol or c>boliz$ boric-acid lotion w relieve ! irritation4 ,leptus4 7,synonym3 ,h>ve/-mite47 ,/ate ! *>act]s ( ! lesion produc$ by ! leptus4 ,?is m9ute brick-r$ mite buries itself 9 ! sk91 especially ab\t ! ankles & feet1 giv+ rise to papules1 vesicles & pu/ules4 ,treatm5t consi/s ( ! use ( a mild sulphur o9tm5t or ( a c>bolic-acid lotion4 ,,oe/rus4 7,synonym3 ,gad1 or ,bot-fly47 ,describe ! cutane\s di/urbance produc$ by ! oe/rus4 ,! ova are deposit$ 9 ! sk91 develop & give rise to ! =mation ( furuncle-l tumors ) c5tral ap]ture1 ?r\gh :i* a sani\s dis*>ge exudes2 or z ! result ( ! burr[+ ( ! l>vae1 irregul> s]pig9\s l9es or :eals are produc$4 ,x is *iefly met ) 9 ,c5tral & ,s\? ,am]ica4 ,l>va migrant1 or creep+ disease1 is d\btless 9 ?is same class4 ,x is *>act]iz$ by a ?read-l l9e> =mation ( an ery!mat\s1 ery!mato-papul>1 or vesicul> nature t gradually ext5ds1 ! old] "p disappe>+2 consid]able surface may be cov]$ be=e ! p>asite disappe>s or dies4 ,! treatm5t consi/s 9 endeavor+ to de/roy ! organism by means ( excision or cau/ic applications at ! po9t ( its suspect$ site :i* is j ahead ( ! ext5d+ l9e4 ,pulex ,p5etrans4 7,synonyms3 ,s& ,flea2 ,jigg]47 ,describe ! cutane\s di/urbance produc$ by ! pulex p5etrans4 ,?is microscopic animal p5etrates ! sk91 especially ab\t ! toes1 produc+ an inflammatory swell+1 vesicle or pu/ule1 or ev5 ulc]ation4 ,x is met ) 9 w>m & tropical c\ntries4 ,treatm5t consi/s 9 extraction4 ,ess5tial oils are us$ z a prev5tive4 ,a c>bolic-acid or alkal9e lotion relieves irritation4 ,cimex ,lectul>ius4 7,synonym3 ,b$-bug47 ,describe ! *>act]s ( a b$-bug bite4 ,an inflammatory papule or :eal-l lesion results1 some:at hemorrhagic2 ! purpuric or hemorrhagic po9t or spot rema9s aft] ! swell+ subsides1 b f9ally1 9 ! c\rse ( sev]al days or a few weeks1 disappe>s4 ,treatm5t consi/s 9 ! application ( alkal9e or acid lotions4 ,culex4 7,synonym3 ,gnat2 ,mosquito47 ,describe ! cutane\s di/urbance produc$ by ! culex4 ,x consi/s ( an ery!mat\s spot or a :eal-l lesion4 ,alkal9e or acid lotions usually give relief4 ,pulex ,irritans4 7,synonym3 ,common ,flea47 ,describe ! cutane\s di/urbance produc$ by ! pulex irritans4 ,x consi/s ( an ery!mat\s spot ) a m9ute c5tral hemorrhagic po9t4 ,9 irritable sk91 a :eal-l lesion may result4 ,treatm5t consi/s ( applications ( camphor or ammonia-wat]2 c>bolic acid & ?ymol lotions are also useful4 ,,relative ,,frequ5cy ,,( ,,! ,,v>i\s ,,diseases ,,( ,,sk9 ,,z ,,%[n ,,by ,,! ,,/ati/ics 7#abc1gdf ,,cases7 ,,( ,,! ,,am]ican ,,d]matological ,,association ,,= ,,t5 ,,ye>s1 #ahgh-hg4 --------------------------------------- ,,classification ,,( ,no4 ,,diseases4 ,cases ,cases --------------------------------------- ,class ,i4 ,disord]s ( ! ,gl&s4 #a4 ,,( ,,! ,,sweat ,,gl&s4 ,hyp]idrosis #cbh 4#bfe ,sudam5 #bfh 4#baf ,anidrosis #aa 4#jji ,bromidrosis #aab 4#jij ,*romidrosis #g 4#jje ,uridrosis 444 4444 #b4 ,,( ,,! ,,sebace\s ,,gl&s #bch 4#aic ,seborrhoea3 #ahab #a4dg a4 oleosa #cfg 4#bif b4 sicca #cie 4#cai ,com$o #abbe 4#ihi ,cy/3 #f 4#jjd a4 ,milium #bbe 4#ahc b4 ,/eatoma #aea 4#abb ,a/eatosis #h 4#jjf ,class ,,ii4 ,inflammations4 ,exan!mata #aggj #a4dc ,ery!ma simplex #ajfd 4#hei ,ery!ma multi=me3 #iae 4#gcj a4 papulosum #cbe 4#bfb b4 bullosum #cg 4#jbi c4 nodosum #hb 4#jff ,urtic>ia #biid #b4dg pigm5tosa #a 4#jjjh ,e,d]matitis3 #agbj #a4ci a4 traumatica #dfh 4#cgh b4 v55ata #faf 4#dih c4 calorica #bbd 4#ahg d4 m$icam5tosa #ajh 4#jhg e4 gangra5osa #h 4#jjf ,erysipelas #ajbf 4#hbi ,furunculus #babi #a4gb ,an?rax #beb 4#bjc ,phlegmona diffusa #bfe 4#bae ,pu/ula maligna #aig 4#aei ,h]pes simplex #bjeg #a4ff ,h]pes zo/] #adbh #a4ae ,d]matitis h]peti=mis #da 4#jcc ,psoriasis #daca #c4cd ,pityriasis maculuta et circ9ata #ga 4#jeg ,d]matitis exfoliativa #af 4#jab ,pityriasis rubra #dd 4#jcb ,li*53 #add 4#aaf a4 planus #aed 4#abd b4 rub] #bg 4#jba ,eczema3 #cgffa #cj4dc a4 ery!matosum 4444 4444 b4 papulosum 4444 4444 c4 vesiculosum 4444 4444 d4 madidans 4444 4444 e4 pu/ulosum 4444 4444 f4 rubrum 4444 4444 g4 squamosum 4444 4444 ,prurigo #cd 4#jbg ,acne #ijgg #g4cd ,acne rosacea #cih 4#cba ,sycosis #bbg 4#ahe ,impetigo #agfi #a4dc ,impetigo contagiosa #fjj 4#dhe ,impetigo h]peti=mis #aj 4#jji ,ec?yma #gbf 4#ehg ,pemphigus #ahc 4#adh ,ulc]s #cjba #b4dd ,class ,,iii4 ,hemorrhages4 ,purpura3 #cda 4#bge a4 simplex #aha 4#ade b4 haemorrhagica #di 4#jci ,class ,,iv4 ,hyp]trophies4 #a4 ,,( ,,pigm5t4 ,l5tigo #abg 4#ajc ,*loasma #efj 4#deb #b4 ,,( ,,epid]mal ,,& ,,papill>y ,,lay]s4 ,k]atosis3 #id 4#jgf a4 pil>is #ajc 4#jhc b4 s5ilis #fh 4#jee ,molluscum epi!liale #agb 4#aci ,callositas #aaj 4#jij ,clavus #hd 4#jfh ,cornu cutaneum #db 4#jcd ,v]ruca #abeb #a4ji ,v]ruca necrog5ica #b 4#jja ,naevus pigm5tosus #hh 4#jfd ,x]osis #ajj 4#jhj ,i*?yosis #cji 4#bdi ,ony*auxis #gj 4#jef ,hyp]tri*osis #eae 4#daf #c4 ,,( ,,connective ,,tissue4 ,scl]ema neonatorum 4444 4444 ,scl]od]ma #ch #j4jcj ,morphoea #ci #j4jca ,elephantiasis #eg #j4jdf ,rosacea3 #ghe #j4fcd a4 ery!matosa #cha #j4cjh b4 hyp]trophica #eh #j4jdg ,framboesia #bb #j4jah ,class ,v4 ,atrophies4 #a4 ,,( ,,pigm5t4 ,leucod]ma #gg #j4jfb ,alb9ismus #i #j4jjh ,vitiligo #aia #j4aee ,canities #dc #j4jce #b4 ,,( ,,hair4 ,alopecia #ibf #j4gdi ,alopecia furfuracea #hcj #j4fgj ,alopecia areata #gid #j4fda ,atrophia pilorum propria #bc #j4jai ,tri*orexis nodosa #c #j4jjb #c4 ,,( ,,nail #bf #j4jba ,atrophia unguis #ai #j4jae #d4 ,,( ,,cutis #f #j4jje ,atrophia s5ilis #ae #j4jac ,atrophia maculosa et /riata #bc #j4jai ,class ,,vi4 ,new ,gr[?s4 #a4 ,,( ,,connective ,,tissue4 #a #j4jjjh ,keloid #aeb #j4abd ,cicatrix #hi #j4jfe ,fibroma #ic #j4jge ,neuroma #aa #j4jji ,xan?oma #fi #j4jef #b4 ,,( ,,muscul> ,,tissue4 ,myoma #a #j4jjjh #c4 ,,( ,,vessels4 ,angioma #dfb #j4cgc ,angioma pigm5tosum et atrophicum #ac #j4jaj ,angioma cav]nosum #bb #j4jah ,lymphangioma #af 4#jab #d4 ,mycosis fongoide #a 4#jjjh ,rh9oscl]oma #c 4#jjb ,lupus ery!matosus #dgg 4#che ,lupus vulg>is #ecf 4#dcc ,scr(ulod]ma #ffc 4#ecf ,syphilod]ma3 #achhh #aa4bb a4 ery!matosum 4444 4444 b4 papulosum 4444 4444 c4 pu/ulosum 4444 4444 d4 tub]culosum 4444 4444 e4 gummatosum 4444 4444 ,lepra3 #bd 4#jbj a4 tub]osa #g 4#jje b4 maculosa #d 4#jjc c4 anae/hetica #f 4#jjd ,c>c9oma #ajfh 4#hfc ,s>coma #ee 4#jdd ,class ,,vii4 ,neuroses4 ,hyp]ae/hesia3 #d 4#jjc a4 ,pruritus #bgaf #b4ab b4 ,d]matalgia #aa 4#jji ,anae/hesia #bb 4#jah ,class ,,viii4 ,p>asitic ,affections4 #a4 ,,vegetable4 ,t9ea favosa #ced 4#bhf ,t9ea tri*ophyt9a3 #bbhi #a4he a4 circ9ata #gje 4#efi b4 tonsurans #fge 4#ede c4 sycosis #cfe 4#bie ,t9ea v]sicolor #abfc #a4jb #b4 ,,animal4 ,scabies #caib #b4eh ,p$iculosis capillitii #begi #b4ji ,p$iculosis corporis #agjd #a4ch ,p$iculosis pubis #dcf 4#ceb --------------------------------------- ,total #abcgdf ,footnote ,e3 ,indicat+ affections ( ?is class n prop]ly includ$ "u o!r titles4 ,,index4 ,ac>us folliculorum1 #dj scabiei1 #bfi ,a*orion ,s*o5le9ii1 #bdi ,acne1 #aae-abf artificialis1 #abj atrophica1 #abj ca*ecticorum1 #abj frontalis1 #abi hyp]trophica1 #abj indurata1 #abj keloid1 #ace lupoid1 #abi necrotica1 #abi papulosa1 #abj punctata1 #abj pu/ulosa1 #abj rod5s1 #abi rosacea1 #abf-abi1 #aih sebacea1 #cc t>1 #abj urticata1 #acj v>ioli=mis1 #abi vulg>is1 #aai ,acnitis1 #acj ,act9omycosis1 #bff ,addison's disease1 pigm5tation ( ! sk9 91 #adi keloid1 #agb ,a9hum1 #bab ,alb9ismus1 #agg ,alb9os1 #agg ,alopecia1 #aha-ahc areata1 #ahc-ahf circumscripta1 #ahc cong5ital1 #aha furfuracea1 #aha premature1 #aha s5ile1 #aha ,anae/hesia1 #bdd ,anatomy ( ! sk91 #ag-ba1 #bh ,angioma1 #aif1 #aig cav]nosum1 #aig pigm5tosum et atrophicum1 #aij simplex1 #aif ,angiomyoma1 #aif ,angioneurotic oedema1 #ed ,anidrosis1 #ca ,an?rax1 #gj1 #gb ,antipruritic applications1 #bdf ,antipyr91 eruptions f1 #fa ,area ,celsi1 #ahc ,argyria1 #aej ,ars5ic1 eruptions f1 #fa ,artificial eruptions 7feign$ eruptions71 #fd ,atrophia cutis1 #ahi1 #aij pilorum propria1 #ahg unguis1 #ahh1 #ahi ,atrophic l9es & spots1 #aij ,atrophies1 #agg-aij ,atrophod]ma1 #ahi neuriticum1 #ahi ,atrophy ( ! hair1 #ahg ( ! nails1 #ahh ( ! sk91 #ahi g5]al idiopa?ic1 #ahi s5ile1 #aij ,atropia1 eruptions f1 #fa ,autographism1 #eb ,baldness1 #aha ,b>badoes leg1 #agd ,b>b]s' it*1 #bee ,ba?-pruritis1 #bde ,b$-bug1 #bgh ,b$-sores1 #eh ,belladonna1 eruptions f1 #fa ,blackheads1 #ch-da ,blan*+ ( ! hair1 #ahj ,bla/omycetic d]matitis1 #bff ,blebs1 #bc ,blood-vessels1 #ai ,boil1 #fh ,bot-fly1 #bgh ,bromides1 eruptions f1 #fa ,bromidrosis1 #cb ,bullae1 #bc ,burns1 #eh ,burr[s1 #bfh ,calculi1 cutane\s1 #db ,callositas1 #aee1 #aef ,callosity1 #aee ,call\s1 #aee ,callus1 #aee ,canc]1 epi!lial1 #bcf sk91 #bcf ,canities1 #ahj prematura1 #ahj s5ilis1 #ahj ,c>buncle1 #gj ,c>bunculus1 #gj-gb ,c>c9oma epi!liale1 #bcf ,c>rion's disease1 #gc ,*af+1 #de ,*app+1 #ajf ,*>bon1 #gb ,*eiro-pompholyx1 #gf ,*eloid1 #aia ,*loasma1 #adi-aea ut]9um1 #adi ,*loral1 eruptions f1 #fb ,*romidrosis1 #cb r$1 #cc ,*romophytosis1 #bfb ,*rys>ob91 #ic ,*rysophanic acid 7*rys>ob971 #ic ,cicatrices1 #bd ,cimex lectul>ius1 #bgh ,clavus1 #aef1 #aeg ,com$o1 #ch-da extractor1 #dj ,condyloma1 flat 7or broad71 #bag po9t$1 #afa ,configuration1 #bd ,conglom]ate pu/ul> folliculitis1 #beb ,contagi\s impetigo1 #acf ,contagi\sness1 #bg ,copaiba1 eruptions f1 #fb ,corn1 #aef ,cornu cutaneum1 #aeh1 #aei humanum1 #aei ,crab-l\se1 #bge ,creep+ disease1 #bgh ,cru/a lactea1 #ajd ,cru/ae1 #bd ,cru/s1 #bd ,cubebs1 eruptions f1 #fb ,culex1 #bgi ,cuniculus1 #bfh ,curette1 #bjh ,cutane\s calculi1 #db horn1 #aeh ,cutis ans]9a1 #aeb p5dula1 #agf ,cy/1 sebace\s1 #dc ,cy/ic]cus cellulosae1 #bgf ,d&ruff1 #cc1 #cd ,d>i]'s disease1 #aec ,defluvium capillorum1 #aha ,demodex folliculorum1 #dj ,depilatories1 #afi ,d]malgia1 #bdd ,d]matalgia1 #bdd ,d]matitis1 #eh-fd acute g5]al1 #if ambu/ionis1 #eh bla/omycetic1 #bff calorica1 #eh congelationis1 #eh contusi=mis1 #ej exfoliativa1 #if1 #ig g5]al1 #if neonatorum1 #ig recurr5t1 #if factitia1 #fd gangra5osa1 #fe h]peti=mis1 #hc-hf iod(orm1 #ei malignant papill>y1 #bdj m$icam5tosa1 #fj papill>is capillitii1 #ace rep5s1 #ha traumatica1 #eh vegetans1 #adb v55ata1 #ei x-ray1 #fc ,d]matographism1 #eb ,d]matolysis1 #agf ,d]matomyoma1 #aif ,d]matoscl]osis1 #agb ,d]matosyphilis1 #bac ,dhobi it*1 #bfe ,digitalis1 eruptions f1 #fb ,disord]s ( ! gl&s1 #bh-dd ,dissection w\nd1 #gc ,di/ribution & configuration1 #bd-bf ,drug eruptions 7d]matitis m$icam5tosa71 #fj ,duhr+'s disease1 #hc ,dysidrosis1 #gf ,ec?yma1 #ach1 #aci ,eczema1 #ajj-aai ery!matosum1 #ajb fissum1 #ajf impetig9osum1 #ajd madidans1 #aje m>g9atum1 #bec papulosum1 #ajc pu/ulosum1 #ajd rimosum1 #ajf rubrum1 #aje scl]osum1 #ajf seborrhoicum1 #cc1 #cd1 #ia1 #ie1 #aji squamosum1 #ajd v]rucosum1 #ajf vesiculosum1 #ajd ,electrolysis 9 removal ( hair1 #afi ,elephant leg1 #agd ,elephantiasis1 #agd-agf ,arabum1 #agd ,graecorum1 #bca ,epid]mis1 #ah ,epid]molysis bullosa1 #hj ,epilat+ =ceps1 #bdi ,epi!lial canc]1 #bcf ,epi!lioma1 #bcf-bdj b5ign cy/ic1 #aih molluscum1 #aec ,equ9ia1 #gd ,erasion1 #bjh ,eruptions1 feign$ 7artificial71 #fd m$ic9al 7d]matitis m$icam5tosa71 #fj ,erysipelas1 #ff1 #fg ambulans1 #fg migrans1 #fg ,erysipeloid1 #fg ,ery!ma1 #dd annul>e1 #dh bullosum1 #dh caloricum1 #dd desquamative sc>lat9i=m1 #if gangr5osum1 #fe gyratum1 #dh induratum1 #ea scr(ulosorum1 #ea int]trigo1 #de1 #df iris1 #dh m>g9atum1 #dh multi=me1 #df nodosum1 #ej1 #ea recurr5t exfoliative1 #if simplex1 #dd sol>e1 #dd traumaticum1 #dd v55atum1 #dd vesiculosum1 #dh ,ery?rasma1 #bfe ,excessive sweat+ 7hyp]idrosis71 #bh ,excoriationes1 #bd ,excoriations1 #bd ,f>cy1 #gd ,favus1 #bdg ( g5]al surface1 #bdh ( nails1 #bdi ( scalp1 #bdg ,feign$ eruptions1 #fd ,fev] bli/]s1 #gh ,fibroma1 #aib-aid molluscum1 #aib ,fibromyoma1 #aif ,fil>ia1 #age m$95sis1 #bgg ,fi%-sk9 disease1 #afe ,fissures1 #bd ,flea1 common1 #bgi s&1 #bgh ,fle% worms1 #ch-da ,folliclis1 #acj ,folliculitis b>bae1 #acj decalvans1 #aca pu/ul>1 conglom]ate1 #beb ,=ceps1 epilat+1 #bdi ,fragilitas cr9ium1 #ahg ,framboesia1 #gc ,freckle1 #adh ,fro/-bite1 #eh ,fung\s foot ( ,india1 #bab ,furuncle1 #fh ,furunculosis1 #fi ,furunculus1 #fh-gj ,gad-fly1 #bgh ,galvano-caut]y1 #bjh in/rum5ts1 #bjf ,gangr5e ( ! sk9 7d]matitis gangra5osa71 #fe spontane\s1 #fe symmetric1 #ff ,gelat9 dress+1 #aaf ,giant urtic>ia1 #ed ,gl&]s1 #gd ,gl&s1 sebace\s1 #cc sweat1 #bh ,glossy sk91 #ahi ,gnat1 #bgi ,goose-fle%1 #aeb ,granuloma fungoides1 #bdb necroticum1 #abi ,grayness ( ! hair1 #ahj ,grutum1 #db ,gu9ea-worm1 #bgg ,gumma1 #bbe ,gun-p[d] m>ks1 #aea ,gutta-p]*a pla/]1 #aag ,hair1 #ba atrophy (1 #ahg gray+ (1 #ahj hyp]trophy (1 #afh sup]flu\s1 #afh ,hair-follicle1 #ba ,hairy p1 #afh ,h>ve/ mite1 #bgg ,heat ra%1 #gd ,hemorrhages1 #add-adf ,h5o*'s purpura1 #ade1 #adf ,h]$it>y infantile syphilis1 #bbh cutane\s manife/ations (1 #bba ,h]pes1 #gh facialis1 #gh ge/ationis1 #hc iris1 #dh labialis1 #gh praeputialis1 #gi prog5italis1 #gh simplex1 #gh-hj zo/]1 #ha-hc ,hirsuties1 #afh ,hives1 #eb ,hom9es pilosi1 #afh ,horn1 cutane\s1 #aeh ,hydrad5itis suppurativa1 #acj ,hydroa ae/ivale1 #hj h]peti=me1 #hc pu]orum1 #hj vacc9i=me1 #hj ,hydrocy/oma1 #ca ,hyp]e/hesia1 #bdd ,hyp]idrosis1 #bh-cj ,hyp]tri*osis1 #afh-agj ,hyp]trophic sc>1 #aib ,hyp]trophies1 #adh-agg ,hyp]trophy ( ! hair1 #afh ( ! nail1 #afg ,i*?yosis1 #afe-afg cong5ita1 #afe follicul>is1 #aec hy/rix1 #afe sebacea1 #cc cornea1 #aec simplex1 #afe ,impetigo contagiosa1 #acf1 #ach h]peti=mis1 #ach simplex1 #acg ,infantile syphilis1 h]$it>y1 #bbh ,inflammations1 #dd-adc ,inflammatory fungoid neoplasm1 #bdb ,iodides1 eruptions f1 #fb ,iod(orm d]matitis1 #ei ,it*1 #bfg b>b]s'1 #bee dhobie1 #bfe mite1 #bfi ,ivy poison+1 #ei ,ixodes1 #bgg ,jigg]1 #bgh ,keloid1 #agb1 #aib cicatricial1 #aia false1 #aia ( ,addison1 #agb ( ,alib]t1 #aia spontane\s1 #aia true1 #aia ,k]atod]mia1 symmetric1 #aee ,k]atoma1 #aee ,k]atosis follicul>is1 #aec palm>is et plant>is1 #aee pigm5tosa1 #afj pil>is1 #aea1 #aeb s5ilis1 #bcf ,k]ion1 #bee ,l& scurvy1 #ade ,l>va nigrans1 #bgh ,l5tigo1 #adh ,leontiasis1 #bcc ,lepra1 #bca-bce ,leprosy1 #bca anae/hetic1 #bcc ,lomb>dian1 #bce tub]cul>1 #bcb ,leptus1 #bgg ,lesions1 #bb configuration (1 #bd consecutive1 #bc di/ribution (1 #bd elem5t>y1 #bb prim>y1 #bb second>y1 #bc ,leucod]ma1 #agh ,leucopa?ia1 #agh ,li*5 monili=mis1 #ih pil>is1 #aea planus1 #ih hyp]trophicus1 #ih rub]1 #ii acum9atus1 #ii scr(ulosus1 #ajj tropicus1 #gd urticatus1 #ec ,l9ae albicantes1 #aij ,l9e> naevus1 #afc sc>ification1 #bjh ,liomyoma cutis1 #aif ,liquor c>bonic det]g5s1 #aac picis alkal9us1 #aaf ,lomb>dian leprosy1 #bce ,l\se1 body 7p$iculus corporis71 #bgd clo!s 7p$iculus corporis71 #bgd crab1 #bge head 7p$iculus capitis71 #bgb ,l\s9ess1 #bga ,lupoid acne1 #abi sycosis1 #aca ,lupus1 #bjc ery!matodes1 #aii ery!matosus1 #aii-bjc ex$5s1 #bjc exfoliativus1 #bjc exulc]ans1 #bjc hyp]trophicus1 #bjd sebace\s1 #aii ulc]ations1 #bjc v]rucosus1 #bjd vorax1 #bjc vulg>is1 #bjc-bjh ,lymphangiectodes1 #aih ,lymphangioma1 #aih tub]osum multiplex1 #aih ,lymphangiomyoma1 #aif ,maculae1 #bb et /riae atrophicae1 #aij ,macules1 #bb ,madura foot1 #bab ,malignant papill>y d]matitis1 #bdj pu/ule1 #gb ,m$ic9al eruptions 7d]matitis m$icam5tosa71 #fj ,melanod]ma1 #adi ,melanos>coma1 #bdb ,melasma1 #adi ,m]cury1 eruptions f1 #fb ,microsporon aud\9i1 #beh ,microsporon furfur1 #bfb m9utissimum1 #bfe ,mili>ia1 #gd-gf alba1 #ge cry/all9a1 #cj rubra1 #gd ,milium1 #db1 #dc ne$le1 #db ,milk cru/1 #ajd ,mite1 h>ve/1 #bgg it*1 #bfi ,moi/ papule1 #baf1 #bag ,mole1 #afb ,molluscum contagiosum1 #aec epi!liale1 #aec-aee fibrosum1 #aib sebaceum1 #aec ,morphia1 eruptions f1 #fc ,morphoea1 #agb ,mosquito1 #bgi ,muc\s pat*1 #bag ,mycetoma1 #bab ,mycosis fungoides1 #bdb ,myoma1 #aif cutis1 #aif telangiectodes1 #aif ,naevus araneus1 #aih capill>y1 #aif flammeus1 #aif l9e>1 #afc lipomatodes1 #afd pigm5tosus1 #afb pilosus1 #afc1 #afh sangu9eus1 #aif simplex1 #aif spid]1 #aih spilus1 #afc tub]osus1 #aig vasculosus1 #aif v5\s1 #aig v]rucosus1 #afc ,nail1 atrophy (1 #ahh hyp]trophy (1 #afg ,necrotic granuloma1 #abi ,neoplasm1 inflammatory fungoid1 #bdb ,neoplasmata 7new gr[?s71 #aia1 #bda ,nettl]a%1 #eb ,neuralgia ( ! sk91 #bdd ,neuroma1 #aid ,neuroses1 #bdd-bdg ,new gr[?s1 #aia-bdc ,nits1 #bgc ,objective symptoms1 #bb ,,oedema1 acute circumscrib$1 #ed neonatorum1 #agj ,,oe/rus1 #bgh ,o9tm5t bases1 #bg ,ony*atrophia1 #ahh ,ony*auxis1 #afg1 #afh ,ony*omycosis1 #ahh favosa1 #bdi ,opium1 eruptions f1 #fc ,oroya fev]1 #gc ,osmidrosis1 #cb ,ova ( p$iculi1 #bgc ,pa*yd]mia1 #agd ,paget's disease ( ! nipple1 #bdj ,papillae1 n]v\s & vascul>1 #bj ,papulae1 #bc ,papule1 moi/1 #baf1 #bag ,papules1 #bc ,p>asitic affections1 #bdg-bgi sycosis1 #bee ,p>asiticides1 #bej1 #bei ,p>*m5t sk91 #aij ,p>ony*ia1 #afg ,pat*1 muc\s1 #bag ,p$iculosis1 #bga capillitii1 #bgb capitis1 #bgb1 #bgc corporis1 #bgd1 #bge pubis1 #bge1 #bgf ,p$iculus capitis1 #bgb corporis1 #bgd pubis1 #bge ve/im5ti1 #bgd ,peliosis rheumatica1 #add ,pellagra1 #bce ,pemphigus1 #adj-add foliaceus1 #ada neonatorum1 #adj prurig9osus1 #hc vegetans1 #adb vulg>is1 #adj ,p]=at+ ulc] ( ! foot1 #bac ,p]uvian w>ts1 #gc ,phlegmona diffusa1 #fh ,phosphoresc5t sweat1 #cc ,phosphoridrosis1 #cc ,ph!iriasis1 #bga ,plan1 #gc ,pityriasis capitis1 #cd maculata et circ9ata1 #ie pil>is1 #aea rosea1 #ie1 #if rubra1 #ig ,pityriasis rubra pil>is1 #ii v]sicolor1 #bfa ,plasm5t1 #aag ,pla/]-mull1 #aag ,podelcoma1 #bab ,poison dogwood1 d]matitis f1 #ei ivy1 d]matitis f1 #ei suma*1 d]matitis f1 #ei v9e1 d]matitis f1 #ei ,pomphi1 #bc ,pompholyx1 #gf-gh ,port-w9e m>k1 #aig ,po/-mortem pu/ule1 #gc ,prickly heat1 #gd ,prim>y lesions1 #bb1 #bc ,prurigo1 #aah1 #aai ,pruritus1 #bdd-bdg ani1 #bde hiemalis1 #bde scroti1 #bde s5ilis1 #bde vulvae1 #bde ,pseudo*romidrosis1 #cc ,psoriasis1 #hf-ie circ9ata1 #hh diffusa1 #hh guttata1 #hh gyrata1 #hh invet]ata1 #hh nummul>is1 #hh punctata1 #hh syphilitica1 #bah ,psorosp]mosis1 #aec1 #aed1 #bdj ,pulex irritans1 #bgi p5etrans1 #bgh ,punctate sc>ification1 #bjh ,purpura1 #add-adf haemorrhagica1 #ade ,h5o*'s1 #ade1 #adf rheumatica1 #add scorbutica1 #adf simplex1 #add urticans1 #add ,pu/ula maligna1 #gb ,pu/ulae1 #bc ,pu/ules1 #bc ,qu99e1 eruptions f1 #fc ,rapidity ( cure1 #bg ,raynaud's disease1 #ff ,recurr5t summ] eruption1 #hj ,r$ *romidrosis1 #cc gum1 #gd ,relative frequ5cy1 #bf ,rhagades1 #bd ,rheumatism ( ! sk91 #bdd ,rh9ophyma1 #abg ,rh9oscl]oma1 #aih1 #aii ,rhus poison+1 #ei ,r+worm1 #bea ( be>d$ region1 #bee ( g5]al surface1 #bea ( ! nail1 #bec ( ! scalp1 #bec ( ! ?ighs & scrotum1 #beb ,tokelau1 #bfa ,rod5t ulc]1 #bcf ,rosacea1 #aih acne1 #abf ,rubb] pla/]1 #aag ,rupia1 #bba1 #bbb ,salicylic acid1 eruptions f1 #fc pa/e1 #aac ,salt rheum1 #ajj ,s& flea1 #bgh ,s>coma1 #bda1 #bdb cutis1 #bda ,s>coptes scabiei1 #bfi ,scabies1 #bfg-bga ,scales1 #bd ,sc>ification1 l9e>1 #bjh punctate1 #bjh ,sc>ifi]1 multiple1 #bjb s+le1 #bjb ,sc>s1 #bd hyp]trophic1 #aib ,s*o5le9's disease1 #ade1 #adf ,scl]ema1 #agb neonatorum1 #aga ( ! newborn1 #aga ,scl]iasis1 #agb ,scl]od]ma1 #agb1 #agc neonatorum1 #aga ,scorbutus1 #adf ,scr(ulod]ma1 #bji pu/ul>1 small1 #baj ,scurvy1 #adf l&1 #ade sea1 #adf ,sebace\s cy/1 #dc gl&1 #cc tumor1 #dc ,seborrhoea1 #cc-ch conge/iva1 #aii oleosa1 #cd sicca1 #cd ,second>y lesions1 #bc1 #bd ,%+les1 #ha ,sk91 anatomy (1 #ag canc]1 #bcf g5]al idiopa?ic atrophy (1 #ahi glossy1 #ahi loos5ess (1 #agf ,sk91 p>*m5t1 #aij ,spid] naevus1 #aih ,spirad5itis1 #acj ,spontane\s gangr5e1 #fe ,spots1 #bb ,squamae1 #bd ,/a9s1 #bd ,/ati/ics1 #bhj1 #bha ,/eatoma1 #dc ,/eatorrhoea1 #cc ,/ramonium1 eruptions f1 #fc ,/riae et maculae atrophicae1 #aij ,/rophulus1 #gd albidus1 #db ,subjective symptoms1 #bb ,sudam51 #cj1 #ca ,sup]flu\s hair1 #afh ,sweat1 color$ 7*romidrosis71 #cb gl&s1 #bh phosphoresc5t1 #cc ,sweat+1 excessive1 #bh ,sycosis1 #acj-ace coccog5ica1 #acj non-p>asitica1 #acj p>asitic1 #bee vulg>is1 #acj ,symmetric gangr5e1 #ff k]atod]mia1 #aee ,symptomatology1 #bb-bf ,symptoms1 objective1 #bb subjective1 #bb sy/emic1 #bb ,syphilis cutanea1 #bac-bca e>ly eruptions (1 #bac late eruptions (1 #bad papillomatosa1 #bbe h]$it>y1 #bbg eruptions (1 #bbg ( ! sk91 #bac-bca ,syphilod]m1 #bac acne-=m1 #bbj annul>1 #bai bull\s1 #bbb1 #bbh circ9ate1 #bai ec?yma-=m1 #bba ery!mat\s1 #bad1 #bbg gummat\s1 #bbe impetigo-=m1 #bbj l>ge acum9at$-pu/ul>1 #bbj flat-pu/ul>1 #bba papul>1 #baf l5ticul>1 #baf macul>1 #bad1 #bbg mili>y papul>1 #bae pu/ul>1 #bai non-ulc]at+ tub]cul>1 #bbd palm>1 #bag1 #bah papul>1 #bae1 #bbg papulo-squam\s1 #bah plant>1 #bah pu/ul>1 #bai s]pig9\s tub]cul>1 #bbd small acum9at$-pu/ul>1 #bai flat-pu/ul>1 #bbj papul>1 #bae squam\s1 #bah tub]cul>1 #bbc1 #bbd ulc]at+ tub]cul>1 #bbd v>iola-=m1 #bbj vegetat+1 #bah ,syphilod]ma1 #bac ,syphiloma1 #bbe ,t> acne1 #abj ,tattoo-m>ks1 removal (1 #aea ,telangiectasis1 #abg1 #aig1 #aih ,tett]1 #ajj ,t9ea circ9ata1 #bea favosa1 #bdg-bea fungus (1 #bdi unguium1 #bdi imbricata1 #bfa k]ion1 #bee sycosis1 #bee tonsurans1 #bec tri*ophyt9a1 #bea-bfa b>bae1 #bee capitis1 #bec corporis1 #bea cruris1 #beb fungus (1 #beh unguium1 #bec v]sicolor1 #bfb-bfe fungus (1 #bfb ,tokelau r+worm1 #bfa ,traumatic91 #id ,tri*ophyton1 #beh ,tri*orrhexis nodosa1 #ahg ,tub]cles1 #bc ,tub]cula1 #bc ,tub]culosis cutis1 #bji-baa ( ! sk91 #bjc ,tub]culosis v]rucosa cutis1 #bji1 #baj ,tumor1 sebace\s1 #dc ,tumors1 #bc ,turp5t9e1 eruptions f1 #fc ,tyloma1 #aee ,tylosis1 #aee ,ulc]1 p]=at+1 ( foot1 #bac rod5t1 #bcf ,ulc]a1 #bd ,ul]y!ma sycosi=me1 #aca ,uridrosis1 #cc ,urtic>ia1 #eb-ef bullosa1 #ed *ronic1 #ec factitia1 #eb haemorrhagica1 #ed oedematosa1 #ed papulosa1 #ed tub]osa1 #ed giant1 #ed pigm5tosa1 #ei vesicul>1 #ed ,v5]eal w>t1 #afa ,v]ruca1 #afj-afb acum9ata1 #afa digitata1 #afj fili=mis1 #afj necrog5ica1 #baa plana1 #afj juv5ilis1 #afj s5ilis1 #afj vulg>is1 #afj ,v]ruga p]uana1 #gc ,vesicles1 #bc ,vesiculae1 #bc ,vitiligo1 #agh-ahj ,vitiligoidea1 #aie ,vlem9ckx's solution1 #abi ,w>t1 #afj ,p]uvian1 #gc po9t$1 #afa v5]eal1 #afa ,w51 #dc ,:eals1 #bc ,wood-tick1 #bgg ,w\nd dissection1 #gc ,xan!lasma1 #aie ,xan!lasmoidea1 #ef ,xan?oma1 #aie1 #aif diabeticorum1 #aie multiplex1 #aie planum1 #aie tub]culatum1 #aie tub]osum1 #aie ,x]od]ma1 #afe ,x]od]ma pigm5tosum1 #aij ,x-ray d]matitis1 #fc ,yaws1 #gc ,zona1 #ha ,zo/]1 #ha ,,saund]s' ,,books --------- on --------- ,,gynecology & ,,ob/etrics 99 99 99 99 99 ,w4 ,b4 ,,saund]s ,,company #ibe ,walnut ,/reet ,philadelphia #i1 ,h5rietta ,/reet ,cov5t ,g>d51 ,london ,,saund]s' ,,text-,,books ,,cont9ue ,,to ,,ga9 ,! li/ ( text-books recomm5d$ 9 ! v>i\s colleges aga9 %[s a decid$ ga9 = ! ,saund]s publications4 ,dur+ ! pres5t college ye>1 9 ! li/ ( recomm5d$ books publi%$ by #afd colleges 7! o!r #bc h n publi%$ li/s71 ! ,saund]s books are m5tion$ #cbgh times1 z aga9/ #cjed ! previ\s ye>--an increase ( #bbd4 ,9 o!r words1 9 ea* ( ! m$ical colleges 9 ?is c\ntry an av]age ( #bj 7#ah-b_/e ! previ\s ye>7 ( ! tea*+ books employ$ are publications issu$ by ,w4 ,b4 ,saund]s ,company4 ,t ?is increase is n due alone to ! publication ( new text-books1 b r to a mo/ gratify+ increase 9 ! recomm5dation ( text-books recogniz$ z /&>ds1 is at once evid5t f ! foll[+3 ,a%ton's ,gynecology %[s an increase ( #ai2 ,da,costa's ,surg]y1 an increase ( #ab2 ,hir/'s ,ob/etrics1 #ad2 ,h[ell's ,physiology1 #be2 ,jackson on ! ,eye1 #af2 ,sahli's ,diagno/ic ,me?ods1 #aa2 ,scudd]'s ,fractures1 #aa2 ,/5gel's ,pa?ology1 #ac2 ,/elwagon on ! ,sk91 #aa4 ,^! are b examples ( simil> rem>kable ga9s ?r\gh\t ! entire li/1 & is und\bt$ evid5ce t ! ,saund]s text-books are recogniz$ z ! be/4 ,a ,complete ,catalogue ( our ,publications w be ,s5t ^u ,reque/ ,b&l]'s ,m$ical ,gynecology 99 99 99 99 99 ,m$ical ,gynecology4 ,by ,s4 ,wyllis ,b&l]1 ,m4,d41 ,adjunct4 ,pr(essor ( ,diseases ( ,wom51 ,new ,york ,po/-,graduate ,m$ical ,s*ool & ,hospital4 ,octavo ( #fhj pages1 ) #ace orig9al illu/rations4 ,clo?1 #e4jj net2 ,half ,morocco1 #f4ej net4 ,,j ,,ready--,,exclusively ,,m$ical ,,gynecology ,?is new "w by ,dr4 ,b&l] is j ! book t ! physician engag$ 9 g5]al practice has long ne$$4 ,x is truly ! practition]'s gynecology--plann$ = him1 writt5 = him1 & illu/rat$ = him4 ,!re are _m gynecologic conditions t d n call = op]ative treatm5t2 yet1 because ( lack ( t special k requir$ = _! diagnosis & treatm5t1 ! g5]al practition] has be5 unable to treat !m intellig5tly4 ,?is "w gives j ! in=mation ! practition] ne$s4 ,x n only deals ) ^? conditions am5able to non-op]ative treatm5t1 b x also tells h[ to recognize ^? diseases dem&+ op]ative treatm5t1 s t ! practition] w be enabl$ to advise 8 pati5t at a "t :5 op]ation w be att5d$ ) ! mo/ favorable results4 ,! *apt] on ,pess>ies is especially full & excell5t1 ! prop] mann] ( introduc+ ! pess>y be+ cle>ly describ$ & illu/rat$ ) orig9al pictures t %[ pla9ly ! correct te*nic ( ?is proc$ure4 ,! *apt]s on ,vag9al & ,abdom9al ,massage1 & p>ticul>ly t on ,artificial ,hyp]emia & ,anemia1 are extremely valuable to ! practition]4 ,!y express ! v late/ advances 9 ^! me?ods ( treatm5t4 ,hydro!rapy1 especially ! ,f]guson & ,nauheim ba?s1 are treat$ 9 ext5so1 & ,electro!rapy receives ! full consid]ation its importance m]its4 ,pa9 z a symptom & its alleviation is dealt ) 9 an unusually practical way1 its value z an aid 9 diagnosis be+ emphasiz$4 ,gonorrhea & ,syphilis & _! _m complications are treat$ 9 detail1 e c>e be+ tak5 to h ^! sections--( special int]e/ to ! practition]--complete 9 e p>ticul>4 ,o!r *apt]s ( great importance are ^? on ,con/ipation1 ,/]ility1 ,associat$ ,n]v\s ,conditions 9 ,gynecology1 & ,pregnancy & ,abortion4 ,kelly & ,noble's ,gynecology & ,abdom9al ,surg]y ,gynecology & ,abdom9al ,surg]y4 ,edit$ by ,h[>d ,a4 ,kelly1 ,m4,d41 ,pr(essor ( ,gynecology 9 ,johns ,hopk9s ,univ]sity2 & ,*>les ,p4 ,noble1 ,m4,d41 ,cl9ical ,pr(essor ( ,gynecology 9 ! ,woman's ,m$ical ,college1 ,philadelphia4 ,two imp]ial octavo volumes ( #ijj pages ea*1 conta9+ #fej illu/rations1 mo/ly orig9al4 ,p] volume3 ,clo?1 #h4jj net2 ,half ,morocco1 #i4ej net4 ,,bo? ,,volumes ,,n[ ,,ready ,,) #fej ,,orig9al ,,illu/rations ,,by ,,h]mann ,,beck] ,,& ,,max ,,bro$el ,9 view ( ! intimate association ( gynecology ) abdom9al surg]y ! editors h comb9$ ^! two important subjects 9 "o "w4 ,= ?is reason ! "w w be d\bly valuable1 = n only ! gynecologi/ & g5]al practition] w f9d x an exhau/ive treatise1 b ! surgeon also w f9d "h ! late/ te*nic ( ! v>i\s abdom9al op]ations4 ,x possesses a numb] ( valuable features n to be f\nd 9 any o!r publication cov]+ ! same fields4 ,x conta9s a *apt] ^u ! bact]iology & "o ^u ! pa?ology ( gynecology1 deal+ fully ) ! sci5tific basis ( gynecology4 ,9 no o!r "w c ?is in=mation1 prep>$ by speciali/s1 be f\nd z sep>ate *apt]s4 ,!re is a l>ge *apt] devot$ entirely to m$ical gynecology1 writt5 especially = ! physician engag$ 9 g5]al practice4 ,h]et(ore ! g5]al practition] 0 compell$ to se>* ?r\gh an entire "w 9 ord] to obta9 ! in=mation desir$4 ,abdom9al surg]y prop]1 z di/9ct f gynecology1 is fully treat$1 embrac+ op]ations ^u ! /oma*1 ^u ! inte/9es1 ^u ! liv] & bile-ducts1 ^u ! pancreas & sple51 ^u ! kidney1 uret]1 bladd]1 & ! p]itoneum4 ,special att5tion has be5 giv5 to mod]n te*nic & illu/rations ( ! v highe/ ord] h be5 us$ to make cle> ! v>i\s /eps ( ! op]ations4 ,inde$1 ! illu/rations are truly magnific5t1 be+ ! "w ( ,mr4 ,h]mann ,beck] & ,mr4 ,max ,bro$el1 ( ! ,johns ,hopk9s ,hospital4 ,a%ton's ,practice ( ,gynecology 99 99 99 99 99 ,! ,practice ( ,gynecology4 ,by ,w4 ,ea/]ly ,a%ton1 ,m4,d41 ,,ll4,d41 ,pr(essor ( ,gynecology 9 ! ,m$ico-,*irurgical ,college1 ,philadelphia4 ,h&some octavo volume ( #ajif pages1 conta9+ #ajeg orig9al l9e draw+s4 ,clo?1 #f4ej net2 ,half ,morocco1 #h4jj net4 ,,rec5tly ,,issu$--,,new 7#c;d7 ,,edition ,,?ree ,,editions ,,9 ,,eighte5 ,,mon?s ,?ree editions ( ?is "w h be5 dem&$ 9 eighte5 mon?s4 ,among ! new additions are3 ,colonic lavage & flu%+1 ,hir/'s treatm5t = vag9ismus1 ,dudley's treatm5t ( cy/ocele1 ,montgom]y's r\nd ligam5t op]ation1 ,*orio-epi!lioma ( ! ,ut]us1 ,passive ,incont95ce ( ! ,ur9e1 & ,moynihan's me?ods 9 ,inte/9al ,ana/omosis4 ,no?+ is left to be tak5 = grant$1 ! au?or n only tell+ 8 read]s 9 e in/ance :at %\ld be done1 b also precisely h[ to d x4 ,a di/9ctly orig9al feature ( ! book is ! illu/rations1 numb]+ ab\t "o ?\s& l9e draw+s made especially "u ! au?or's p]sonal sup]vision f actual app>atus1 liv+ models1 & dissections on ! cadav]4 ,^! l9e draw+s %[ 9 detail ! proc$ures & op]ations )\t obscur+ _! purpose by unnecess>y & unimportant anatomic surr\nd+s4 ,h[>d ,a4 ,kelly1 ,m4,d4 ,pr(essor ( ,gynecology1 ,johns ,hopk9s ,univ]sity4 ,x is diff]5t f any?+ t has z yet appe>$4 ,! illu/rations are p>ticul>ly cle> & satisfactory4 ,"o specially good feature is ! pa9s ) :i* y describe s _m details s (t5 left to ! imag9ation4 ,*>les ,b4 ,p5rose1 ,m4,d41 ,=m]ly ,pr(essor ( ,gynecology1 ,univ]sity ( ,p5nsylvania4 ,i "k ( no book t goes s ?or\ghly & satisfactorily into all ! details ( ev]y?+ connect$ ) ! subject4 ,9 ?is respect y\r book diff]s f ! o!rs4 ,george ,m4 ,edebohls1 ,m4,d4 ,pr(essor ( ,diseases ( ,wom51 ,new ,york ,po/-,graduate ,m$ical ,s*ool4 ,i h look$ x ?r\gh & mu/ congratulate y ^u hav+ produc$ a text-book mo/ admirably adapt$ to tea* gynecology to ^? :o mu/ get _! k1 ev5 to ! m9ute/ & mo/ elem5t>y details1 f books4 ,web/]'s ,diseases ( ,wom5 99 99 99 99 99 ,diseases ( ,wom54 ,by ,j4 ,cl>5ce ,web/]1 ,m4,d4 7,ed9471 ,f4,r4,c4,p4,e41 ,pr(essor ( ,gynecology & ,ob/etrics 9 ,ru% ,m$ical ,college4 ,octavo ( #gab pages1 ) #cgb illu/rations4 ,clo?1 #g4jj net2 ,half ,morocco1 #h4ej net4 ,,rec5tly ,,issu$--,,= ,,! ,,practition] ,dr4 ,web/] has writt5 ?is "w especially = ! g5]al practition]1 discuss+ ! cl9ical features ( ! subject 9 _! wide/ relations to g5]al practice r ?an f ! /&po9t ( specialism4 ,! magnific5t illu/rations1 ?ree hundr$ & sev5ty-two 9 numb]1 are ne>ly all orig9al4 ,drawn by exp]t anatomic arti/s "u ,dr4 ,web/]'s direct sup]vision1 !y portray ! anatomy ( ! p>ts & ! /eps 9 ! op]ations ) r>e cle>ness & exactness4 ,h[>d ,a4 ,kelly1 ,m4,d41 ,pr(essor ( ,gynecology1 ,johns ,hopk9s ,univ]sity4 ,x is und\bt$ly "o ( ! be/ works :i* has be5 put on ! m>ket )9 rec5t ye>s1 %[+ f />t to f9i% ,dr4 ,web/]'s well-kn[n ?or\ghness4 ,! illu/rations are also ( ! highe/ ord]4 99 99 99 99 99 ,web/]'s ,ob/etrics ,a ,text-,book ( ,ob/etrics4 ,by ,j4 ,cl>5ce ,web/]1 ,m4,d4 7,ed9471 ,pr(essor ( ,ob/etrics & ,gynecology 9 ,ru% ,m$ical ,college4 ,octavo ( #gfg pages1 illu/rat$4 ,clo?1 #e4jj net2 ,half ,morocco1 #f4ej net4 ,,rec5tly ,,issu$ ,m$ical ,record1 ,new ,york ,! au?or's rem>ks on asepsis & antisepsis are admirable1 ! *apt] on eclampsia is full ( good mat]ial1 & 444 ! book c be cordially recomm5d$ z a safe guide4 ,cull5's ,ut]9e ,ad5omyoma 99 99 99 99 99 ,ut]9e ,ad5omyoma4 ,by ,?omas ,s4 ,cull51 ,m4,d41 ,associate ,pr(essor ( ,gynecology1 ,johns ,hopk9s ,univ]sity4 ,octavo ( #bge pages1 ) orig9al illu/rations by ,h]mann ,beck] & ,augu/ ,horn4 ,clo?1 #e4jj net4 ,,j ,,ready ,dr4 ,cull5's l>ge cl9ical exp]i5ce & 8 ext5sive orig9al "w along ! l9es ( gynecologic pa?ology h enabl$ him to pres5t 8 subject ) orig9ality & precision4 ,! "w gives ! e>ly lit]ature on ad5omyoma1 traces ! disease ?r\gh its v>i\s /ages1 & !n gives ! detail$ f9d+s 9 a l>ge numb] ( cases p]sonally exam9$ by ! au?or4 ,=m]ly ! physician & surgeon 7 unable to det]m9e ! cause ( ut]9e ble$+1 b aft] foll[+ closely ! cl9ical c\rse ( ! disease1 ,dr4 ,cull5 has f\nd t ! majority ( ^! cases c be diagnos$ cl9ically4 ,! results ( ^! obs]vations he pres5ts 9 ?is "w4 ,! entire subject ( ad5omyoma is dealt ) f ! /&po9t ( ! pa?ologi/1 ! cl9ician1 & ! surgeon4 ,! sup]b illu/rations are ! "w ( ,mr4 ,h]mann ,beck] & ,mr4 ,augu/ ,horn1 ( ! ,johns ,hopk9s ,hospital4 99 99 99 99 99 ,! ,am]ican ,text-,book ( ,ob/etrics ,rec5tly ,issu$--,new 7#b;d7 ,edition ,! ,am]ican ,text-,book ( ,ob/etrics4 ,9 two volumes4 ,edit$ by ,ri*>d ,c4 ,norris1 ,m4,d42 ,art ,editor1 ,rob]t ,l4 ,dick9son1 ,m4,d4 ,two octavos ( ab\t #fjj pages ea*2 ne>ly #ijj illu/rations1 includ+ #di color$ & half-tone plates4 ,p] volume3 ,clo?1 #c4ej net2 ,half ,morocco1 #d4ej net4 ,am]ican ,j\rnal ( ! ,m$ical ,sci5ces ,z an au?ority1 z a book ( ref]5ce1 z a 'work+ book' = ! /ud5t or practition]1 we comm5d x because we believe !re is no bett]4 ,hir/'s ,diseases ( ,wom5 99 99 99 99 99 ,a ,text-,book ( ,diseases ( ,wom54 ,by ,b>ton ,cooke ,hir/1 ,m4,d41 ,pr(essor ( ,ob/etrics1 ,univ]sity ( ,p5nsylvania2 ,gynecologi/ to ! ,h[>d1 ! ,or?op$ic1 & ! ,philadelphia ,hospitals4 ,octavo ( #gde pages1 #gja illu/rations1 _m 9 colors4 ,clo?1 #e4jj net2 ,half ,morocco1 #f4ej net4 ,,rec5tly ,,issu$--,,new 7#b;d7 ,,edition ,,) #gja ,,orig9al ,,illu/rations ,! new edition ( ?is "w has j be5 issu$ aft] a c>eful revision4 ,z diagnosis & treatm5t are ( ! greate/ importance 9 consid]+ diseases ( wom51 p>ticul> att5tion has be5 devot$ to ^! divisions4 ,to ?is end1 also1 ! "w has be5 magnific5tly illum9at$ ) #gja illu/rations1 = ! mo/ "p orig9al photographs & wat]-colors ( actual cl9ical cases accumulat$ dur+ ! pa/ fifte5 ye>s4 ,! palliative treatm5t1 z well z ! radical op]ative1 is fully describ$1 enabl+ ! g5]al practition] to treat _m ( 8 own pati5ts )\t ref]r+ !m to a speciali/4 ,! au?or's ext5sive exp]i5ce r5d]s ?is "w ( unusual value4 99 99 99 99 99 ,,op9ions ,,( ,,! ,,m$ical ,,press 99 99 99 99 99 ,m$ical ,record1 ,new ,york ,its m]its c be appreciat$ only by a c>eful p]usal4444 ,ne>ly "o hundr$ pages are devot$ to te*nic1 ?is *apt] be+ 9 "s respects sup]ior to ! descriptions 9 _m text-books4 ,bo/on ,m$ical & ,surgical ,j\rnal ,! au?or has giv5 special att5tion to diagnosis & treatm5t ?r\gh\t ! book1 & has produc$ a practical treatise :i* %\ld be ( ! greate/ value to ! /ud5t1 ! g5]al practition]1 & ! speciali/4 ,m$ical ,news1 ,new ,york ,(fice treatm5t is giv5 a due am\nt ( consid]ation1 s t ! "w w be z useful to ! non-op]ator z to ! speciali/4 ,hir/'s ,text-,book ( ,ob/etrics ,new 7#e?7 ,edition1 ,revis$ 99 99 99 99 99 ,a ,text-,book ( ,ob/etrics4 ,by ,b>ton ,cooke ,hir/1 ,m4,d41 ,pr(essor ( ,ob/etrics 9 ! ,univ]sity ( ,p5nsylvania4 ,h&some octavo1 #hii pages1 ) #gdf illu/rations1 #ci 9 colors4 ,clo?1 #e4jj net2 ,%eep or ,half ,morocco1 #f4ej net4 ,,rec5tly ,,issu$ ,imm$iately on its publication ?is "w took its place z ! lead+ text-book on ! subject4 ,bo? 9 ?is c\ntry & abroad x is recogniz$ z ! mo/ satisfactorily writt5 & cle>ly illu/rat$ "w on ob/etrics 9 ! language4 ,! illu/rations =m "o ( ! features ( ! book4 ,!y are num]\s & ! mo/ ( !m are orig9al4 ,9 ?is edition ! book has be5 ?or\ghly revis$4 ,m att5tion has be5 giv5 to ! diseases ( ! g5ital organs associat$ ) or foll[+ *ildbir?4 ,_m ( ! old illu/rations h be5 replac$ by bett] ones1 & !re h be5 add$ a numb] entirely new4 ,! "w treats ! subject f a cl9ical /&po9t4 99 99 99 99 99 ,,op9ions ,,( ,,! ,,m$ical ,,press 99 99 99 99 99 ,briti% ,m$ical ,j\rnal ,! popul>ity ( ,am]ican text-books 9 ?is c\ntry is "o ( ! features ( rec5t ye>s4 ,! popul>ity is probably *iefly due to ! great sup]iority ( _! illu/ration ov] ^? ( ! ,engli% text-books4 ,! illu/rations 9 ,dr4 ,hir/'s volume are f> m num]\s & f> bett] execut$1 & !re=e m in/ructive1 ?an ^? commonly f\nd 9 ! works ( writ]s on ob/etrics 9 our own c\ntry4 ,bullet9 ( ,johns ,hopk9s ,hospital ,! "w is an admirable "o 9 e s5se ( ! ^w1 concisely b compreh5sively writt54 ,! ,m$ical ,record1 ,new ,york ,! illu/rations are num]\s & are works ( art1 _m ( !m appe>+ = ! fir/ "t4 ,! au?or's /yle1 ?\gh cond5s$1 is s+ul>ly cle>1 s t x is nev] necess>y to re-read a s5t5ce 9 ord] to grasp ! mean+4 ,z a true model ( :at a mod]n text-book on ob/etrics %\ld be1 we feel ju/ifi$ 9 affirm+ t ,dr4 ,hir/'s book is )\t a rival4 ,p5rose's ,diseases ( ,wom5 ,six? ,revis$ ,edition 99 99 99 99 99 ,a ,text-,book ( ,diseases ( ,wom54 ,by ,*>les ,b4 ,p5rose1 ,m4,d41 ,ph4,d41 =m]ly ,pr(essor ( ,gynecology 9 ! ,univ]sity ( ,p5nsylvania2 ,surgeon to ! ,gynecean ,hospital1 ,philadelphia4 ,octavo volume ( #eej pages1 ) #bbe f9e orig9al illu/rations4 ,clo? #c4ge net4 ,,j ,,issu$ ,regul>ly e ye> a new edition ( ?is excell5t text-book is call$ =1 & x appe>s to be 9 z great favor ) physicians z ) /ud5ts4 ,inde$1 ?is book has tak5 its place z ! ideal "w = ! g5]al practition]4 ,! au?or pres5ts ! be/ tea*+ ( mod]n gynecology1 untrammel$ by antiquat$ ideas & me?ods4 ,9 e case ! mo/ mod]n & progressive te*nique is adopt$1 & ! ma9 po9ts are made cle> by excell5t illu/rations4 ,! new edition has be5 c>efully revis$1 mu* new matt] has be5 add$1 & a numb] ( new orig9al illu/rations h be5 introduc$4 ,9 its revis$ =m ?is volume cont9ues to be an admirable exposition ( ! pres5t /atus ( gynecologic practice4 99 99 99 99 99 ,,p]sonal ,,& ,,press ,,op9ions 99 99 99 99 99 ,h[>d ,a4 ,kelly1 ,m4,d41 ,pr(essor ( ,gynecology & ,ob/etrics1 ,johns ,hopk9s ,univ]sity1 ,baltimore4 ,i %all value v highly ! copy ( ,p5rose's ',diseases ( ,wom5' receiv$4 ,i h already recomm5d$ x to my class z ,! ,be/ book4 ,l4,e4 ,montgom]y1 ,m4,d41 ,pr(essor ( ,gynecology1 ,jeff]son ,m$ical ,college1 ,philadelphia4 ,! copy ( ',a ,text-,book ( ,diseases ( ,wom5' by ,p5rose receiv$ to-day4 ,i h look$ ov] x & admire x v mu*4 ,i h no d\bt x w h a l>ge sale1 z x ju/ly m]its4 ,bri/ol ,m$ico-,*irurgical ,j\rnal ,?is is an excell5t "w :i* goes /raight to ! m>k4444 ,! book may be tak5 z a tru/wor?y exposition ( mod]n gynecology4 ,,get ,,! ,,new ,,! ,,be/ ,am]ican ,,/&>d ,illu/rat$ ,diction>y ,rec5tly ,issu$--,new 7#d?7 ,edition 99 99 99 99 99 ,! ,am]ican ,illu/rat$ ,m$ical ,diction>y4 ,a new & complete diction>y ( ! t]ms us$ 9 ,m$ic9e1 ,surg]y1 ,d5ti/ry1 ,ph>macy1 ,*emi/ry1 & k9dr$ bran*es2 ) ov] #ajj new & elaborate tables & _m h&some illu/rations4 ,by ,w4,a4 ,newman ,dorl&1 ,m4,d41 ,editor ( ,! ,am]ican ,pocket ,m$ical ,diction>y4 ,l>ge octavo1 #hej pages1 b\nd 9 full flexible lea!r4 ,price1 #d4ej net2 ) ?umb index1 #e4jj net4 ,gives a ,maximum ,am\nt ( ,matt] 9 a ,m9imum ,space1 & at ! ,l[e/ ,possible ,co/ ,,) #bjjj ,,new ,,t]ms ,! imm$iate success ( ?is "w is due to ! special features t di/+ui% x f o!r books ( its k9d4 ,x gives a maximum ( matt] 9 a m9imum space & at ! l[e/ possible co/4 ,?\gh x is practically unabridg$1 yet by ! use ( ?9 bible pap] & flexible morocco b9d+ x is only #a-a_/d in*es ?ick4 ,9 ?is new edition ! book has be5 ?or\ghly revis$1 & upw>d ( two ?\s& new t]ms h be5 add$1 ?us br++ ! book absolutely up to date4 ,! book conta9s hundr$s ( t]ms n to be f\nd 9 any o!r diction>y1 ov] #ajj orig9al tables1 & _m h&some illu/rations4 99 99 99 99 99 ,,p]sonal ,,op9ions 99 99 99 99 99 ,h[>d ,a4 ,kelly1 ,m4,d41 ,pr(essor ( ,gynecology1 ,johns ,hopk9s ,univ]sity1 ,baltimore4 ,dr4 ,borl&'s diction>y is admirable4 ,x is s well gott5 up & ( su* conv5i5t size4 ,no errors h be5 f\nd 9 my use ( x4 ,j4 ,coll9s ,w>r51 ,m4,d41 ,,ll4,d41 ,f4,r4,c4,s4 7,hon47 ,pr(essor ( ,surg]y1 ,h>v>d ,m$ical ,s*ool4 ,i reg>d x z a valuable aid to my m$ical lit]>y "w4 ,x is v complete & ( conv5i5t size to h&le com=tably4 ,i use x 9 pref]5ce to any o!r4 ,g>rigues' ,diseases ( ,wom5 ,?ird ,edition1 ,?or\ghly ,revis$ 99 99 99 99 99 ,a ,text-,book ( ,diseases ( ,wom54 ,by ,h5ry ,j4 ,g>rigues1 ,a4,m41 ,m4,d41 ,gynecologi/ to ,/4 ,m>k's ,hospital & to ! ,g]man ,disp5s>y1 ,new ,york ,city4 ,h&some octavo1 #gef pages1 ) #cfg engrav+s & color$ plates4 ,clo?1 #d4ej net2 ,%eep or ,half ,morocco1 #f4jj net4 ,! fir/ two editions ( ?is "w met ) a mo/ appreciative reception by ! m$ical pr(ession bo? 9 ?is c\ntry & abroad4 ,9 ?is edition ! entire "w has be5 c>efully & ?or\ghly revis$1 & consid]able new matt] add$1 br++ ! "w precisely d[n to date4 ,_m new illu/rations h be5 introduc$1 ?us greatly increas+ ! value ( ! book bo? z a text-book & book ( ref]5ce4 ,?ad4 ,a4 ,reamy1 ,m4,d41 ,pr(essor ( ,gynecology1 ,m$ical ,college ( ,ohio4 ,"o ( ! be/ text-books = /ud5ts & practition]s :i* has be5 publi%$ 9 ! ,engli% language2 x is cond5s$1 cle>1 & compreh5sive4 ,! pr(\nd le>n+ & great cl9ical exp]i5ce ( ! di/+ui%$ au?or f9d expression 9 ?is book4 99 99 99 99 99 ,am]ican ,text-,book ( ,gynecology ,am]ican ,text-,book ( ,gynecology4 ,m$ical & ,surgical4 ,edit$ by ,j4,m4 ,baldy1 ,m4,d41 ,pr(essor ( ,gynecology1 ,philadelphia ,polycl9ic4 ,imp]ial octavo ( #gah pages1 ) #cda text-illu/rations & #ch plates4 ,clo?1 #f4jj net2 ,half ,morocco1 #g4ej net4 ,,second ,,revis$ ,,edition ,?is volume is ?or\ghly practical 9 its tea*+s1 & is int5d$ to be a work+ text-book = physicians & /ud5ts4 ,_m ( ! mo/ important subject are consid]$ f an entirely new /&po9t1 & are gr\p$ toge!r 9 a mann] some:at =eign to ! accept$ cu/om4 ,bo/on ,m$ical & ,surgical ,j\rnal ,! mo/ complete expon5t ( gynecology t we h4 ,no subject seems to h be5 neglect$4 ,dorl&'s ,mod]n ,ob/etrics 99 99 99 99 99 ,mod]n ,ob/etrics3 ,g5]al & ,op]ative4 ,by ,w4,a4 ,newman ,dorl&1 ,a4,m41 ,m4,d41 ,assi/ant ,in/ructor 9 ,ob/etrics1 ,univ]sity ( ,p5nsylvania2 ,associate 9 ,gynecology 9 ! ,philadelphia ,polycl9ic4 ,h&some octavo volume ( #gig pages1 ) #bja illu/rations4 ,clo?1 #d4jj net4 ,second ,edition1 ,revis$ & ,greatly ,enl>g$ ,9 ?is edition ! book has be5 entirely rewritt5 & v greatly enl>g$4 ,among ! new subjects introduc$ are ! surgical treatm5t ( pu]p]al sepsis1 infant mortality1 plac5tal transmission ( diseases1 s]um-!rapy ( pu]p]al sepsis1 etc4 ,j\rnal ( ! ,am]ican ,m$ical ,association ,?is "w des]ves comm5dation1 & t x has receiv$ :at x des]ves at ! h&s ( ! pr(ession is atte/$ by ! fact t a second edition is call$ = )9 su* a %ort "t4 ,especially des]v+ ( praise is ! *apt] on pu]p]al sepsis4 99 99 99 99 99 ,davis' ,ob/etric & ,gynecologic ,nurs+ ,ob/etric & ,gynecologic ,nurs+4 ,by ,edw>d ,p4 ,davis1 ,a4,m41 ,m4,d41 ,pr(essor ( ,ob/etrics 9 ! ,jeff]son ,m$ical ,college & ,philadelphia ,polycl9ic2 ,ob/etrician & ,gynecologi/1 ,philadelphia ,hospital4 #abmo ( #dcf pages1 illu/rat$4 ,buckram1 #a4ge net4 ,,j ,,issu$--,,?ird ,,revis$ ,,edition ,?is volume gives a v cle> & accurate idea ( ! mann] to meet ! conditions aris+ dur+ ob/etric & gynecologic nurs+4 ,! ?ird edition has be5 ?or\ghly revis$4 ,! ,lancet1 ,london ,n only nurses1 b ev5 newly qualifi$ m$ical m51 w\ld le>n a great deal by a p]usal ( ?is book4 ,x is writt5 9 a cle> & pleasant /yle1 & is a "w we c recomm5d4 ,s*aeff] & ,edg>'s ,labor & ,op]ative ,ob/etrics 99 99 99 99 99 ,atlas & ,epitome ( ,labor & ,op]ative ,ob/etrics4 ,by ,dr4 ,o4 ,s*aeff]1 ( ,heidelb]g4 ,f ! ,fif? ,revis$ & ,enl>g$ ,g]man ,edition4 ,edit$1 ) additions1 by ,j4 ,clifton ,edg>1 ,m4,d41 ,pr(essor ( ,ob/etrics & ,cl9ical ,midwif]y1 ,cornell ,univ]sity ,m$ical ,s*ool1 ,new ,york4 ,) #ad li?ographic plates 9 colors1 #aci o!r illu/rations1 & #aaa pages ( text4 ,clo?1 #b4jj net4 ,9 ,saund]s' ,h&-,atlas ,s]ies4 ,?is book pres5ts ! act ( p>turition & ! v>i\s ob/etric op]ations 9 a s]ies ( easily und]/ood illu/rations1 accompani$ by a text treat+ ! subject f a practical /&po9t4 ,am]ican ,m$ic9e ,! me?od ( pres5t+ ob/etric op]ations is admirable4 ,! draw+s1 repres5t+ orig9al "w1 h ! comm5dable m]it ( illu/rat+ in/ead ( confus+4 99 99 99 99 99 ,s*aeff] & ,edg>'s ,ob/etric ,diagnosis & ,treatm5t ,atlas & ,epitome ( ,ob/etric ,diagnosis & ,treatm5t4 ,by ,dr4 ,o4 ,s*aeff]1 ( ,heidelb]g4 ,f ! ,second ,revis$ ,g]man ,edition4,edit$1 ) additions1 by ,j4 ,clifton ,edg>1 ,m4,d41 ,pr(essor ( ,ob/etrics & ,cl9ical ,midwif]y1 ,cornell ,univ]sity ,m$ical ,s*ool1 ,n4,y4 ,) #abb color$ figures on #ef plates1 #ch text-cuts1 & #cae pages ( text4 ,clo?1 #c4jj net4 ,9 ,saund]s' ,h&-,atlas ,s]ies4 ,?is book treats p>ticul>ly ( ob/etric op]ations1 &1 besides ! weal? ( beautiful li?ographic illu/rations1 conta9s an ext5sive text ( great value4 ,?is text deals ) ! practical1 cl9ical side ( ! subject4 ,new ,york ,m$ical ,j\rnal ,! illu/rations are admirably execut$1 z !y are 9 all ( ^! atlases1 & ! text c safely be comm5d$1 n only z elucidatory ( ! plates1 b z exp\nd+ ! sci5tific midwif]y ( to-day4 ,s*aeff] & ,norris' ,gynecology 99 99 99 99 99 ,atlas & ,epitome ( ,gynecology4 ,by ,dr4 ,o4 ,s*aeff]1 ( ,heidelb]g4 ,f ! ,second ,revis$ & ,enl>g$ ,g]man ,edition4 ,edit$1 ) additions1 by ,ri*>d ,c4 ,norris1 ,a4,m41 ,m4,d41 ,assi/ant ,pr(essor ( ,ob/etrics 9 ! ,univ]sity ( ,p5nsylvania4 #bjg color$ figures on #ij plates1 #fe text-cuts1 & #cjh pages ( text4 ,clo?1 #c4ej net4 ,9 ,saund]s' ,h&-,atlas ,s]ies4 ,am]ican ,j\rnal ( ! ,m$ical ,sci5ces ,( ! illu/rations x is difficult to speak 9 too high t]ms ( approval4 ,!y are s cle> & true to nature t ! accompany+ explanations are almo/ sup]flu\s4 ,we comm5d x mo/ e>ne/ly4 99 99 99 99 99 ,galbrai?'s ,f\r ,epo*s ( ,woman's ,life ,second ,revis$ ,edition--,rec5tly ,issu$ ,! ,f\r ,epo*s ( ,woman's ,life3 ,a ,/udy 9 ,hygi5e4 ,by ,anna ,m4 ,galbrai?1 ,m4,d41 ,fell[ ( ! ,new ,york ,academy ( ,m$ic9e1 etc4 ,) an ,introductory ,note by ,john ,m4 ,muss]1 ,m4,d4 ,pr(essor ( ,cl9ical ,m$ic9e1 ,univ]sity ( ,p5nsylvania4 #ab mo ( #bdg pages4 ,clo? #a4ej net4 ,,maid5hood1 ,,m>riage1 ,,mat]nity1 ,,m5opause ,9 ?is in/ructive "w are /at$1 9 a mode/1 pleas+1 & conclusive mann]1 ^? tru?s ( :i* e woman %\ld h a ?or\gh k4 ,writt51 z x is1 = ! laity1 ! subject is discuss$ 9 language readily grasp$ ev5 by ^? mo/ unfamili> ) m$ical subjects4 ,birm+ham ,m$ical ,review1 ,engl& ,we d n z a rule c>e = m$ical books writt5 = ! in/ruction ( ! public4 ,b we mu/ admit t ! advice 9 ,dr4 ,galbrai?'s "w is 9 ! ma9 wise & :olesome4 ,s*aeff] & ,web/]'s ,op]ative ,gynecology ,atlas & ,epitome ( ,op]ative ,gynecology4 ,by ,dr4 ,o4 ,s*aeff]1 ( ,heidelb]g4 ,edit$1 ) additions1 by ,j4 ,cl>5ce ,web/]1 ,m4,d4 7,ed9471 ,f4,r4,c4,p4,e41 ,pr(essor ( ,ob/etrics & ,gynecology 9 ,ru% ,m$ical ,college1 9 affiliation ) ! ,univ]sity ( ,*icago4 #db color$ li?ographic plates1 _m text-cuts1 a numb] 9 colors1 & #ach pages ( text4 ,9 ,saund]s' ,h&-,atlas ,s]ies4 ,clo?1 #c4jj net4 ,,rec5tly ,,issu$ ,mu* pati5t endeavor has be5 exp5d$ by ! au?or1 ! arti/1 & ! li?ograph] 9 ! prep>ation ( ! plates = ?is ,atlas4 ,!y are bas$ on hundr$s ( photographs tak5 f nature1 & illu/rate mo/ fai?fully ! v>i\s surgical situations4 ,dr4 ,s*aeff] has made a specialty ( demon/rat+ by illu/rations4 ,m$ical ,record1 ,new ,york ,! volume %\ld prove mo/ helpful to /ud5ts & o!rs 9 grasp+ details usually to be acquir$ only 9 ! amphi!at] itself4 99 99 99 99 99 ,de,lee's ,ob/etrics = ,nurses ,ob/etrics = ,nurses4 ,by ,joseph ,b4 ,de,lee1 ,m4,d41 ,pr(essor ( ,ob/etrics 9 ! ,nor?we/]n ,univ]sity ,m$ical ,s*ool1 ,*icago2 ,lectur] 9 ! ,nurses' ,tra9+ ,s*ools ( ,m]cy1 ,wesley1 ,provid5t1 ,cook ,c\nty1 & ,*icago ,ly+-9 ,hospitals4 #abmo ( #eab pages1 fully illu/rat$4 ,clo?1 #b4ej net4 ,,j ,,issu$--,,new 7#c;d7 ,,edition ,:ile ,dr4 ,de,lee has writt5 8 "w especially = nurses1 ! practition] w also f9d x useful & in/ructive1 s9ce ! duties ( a nurse (t5 devolve ^u him 9 ! e>ly ye>s ( 8 practice4 ,! illu/rations are ne>ly all orig9al & repres5t photographs tak5 f actual sc5es4 ,! text is ! result ( ! au?or's _m ye>s' exp]i5ce 9 lectur+ to ! nurses ( five diff]5t tra9+ s*ools4 ,j4 ,clifton ,edg>1 ,m4,d41 ,pr(essor ( ,ob/etrics & ,cl9ical ,midwif]y1 ,cornell ,univ]sity1 ,new ,york4 ,x is f> & away ! be/ t has come to my notice1 & ,i %all take great pleasure 9 recomm5d+ x to my nurses1 & /ud5ts z well4 ,am]ican ,pocket ,diction>y ,rec5tly issu$--#e? ,ed4 ,! ,am]ican ,pocket ,m$ical ,diction>y4 ,edit$ by ,w4,a4 ,newman ,dorl&1 ,a4,m41 ,m4,d41 ,assi/ant ,ob/etrician to ! ,hospital ( ! ,univ]sity ( ,p5nsylvania2 ,fell[ ( ! ,am]ican ,academy ( ,m$ic9e4 ,) #egh pages4 ,full lea!r1 limp1 ) gold edges1 #a4jj net2 ) pat5t ?umb index1 #a4be net4 ,james ,w4 ,holl&4 ,m4,d41 ,pr(essor ( ,*emi/ry & ,toxicology1 at ! ,jeff]son ,m$ical ,college1 ,philadelphia4 ,i am /ruck at once ) admiration at ! compact size & attractive ext]ior4 ,i c recomm5d x to our /ud5ts )\t res]ve4 ,crag9's ,gynecology ,rec5tly ,issu$--,new 7#f?7 ,ed4 ,ess5tials ( ,gynecology4 ,by ,edw9 ,b4 ,crag91 ,m4,d41 ,pr(essor ( ,ob/etrics1 ,college ( ,physicians & ,surgeons1 ,new ,york4 ,cr[n octavo1 #bdj pages1 #fb illu/rations4 ,clo?1 #a4jj net4 ,9 ,saund]s' ,"q-,comp5d ,s]ies4 ,! ,m$ical ,record1 ,new ,york ,a h&y volume & a di/9ct improvem5t on /ud5ts' comp5ds 9 g5]al4 ,no au?or :o 0 n himself a practical gynecologi/ c\ld h consult$ ! /ud5t's ne$s s ?or\ghly z ,dr4 ,crag9 has done4 ,boisl9i]e's ,ob/etric ,accid5ts1 ,em]g5cies1 & ,op]ations ,ob/etric ,accid5ts1 ,em]g5cies1 & ,op]ations4 ,by ! late ,l4 ,*4 ,boisl9i]e1 ,m4,d41 ,em]itus ,pr(essor ( ,ob/etrics1 ,/4 ,l\is ,m$ical ,college2 ,consult+ ,physician1 ,/4 ,l\is ,female ,hospital4 #cha pages1 illu/rat$4 ,clo?1 #b4jj net4 ,briti% ,m$ical ,j\rnal ,x is cle>ly & concisely writt51 & is evid5tly ! "w ( a tea*] & practition] ( l>ge exp]i5ce4 ,its m]it lies 9 ! judgm5t :i* comes f exp]i5ce4 ,a%ton's ,ob/etrics ,rec5tly ,issu$--,new 7#f?7 ,ed4 ,ess5tials ( ,ob/etrics4 ,by ,w4 ,ea/]ly ,a%ton1 ,m4,d41 ,pr(essor ( ,gynecology 9 ! ,m$ico-,*irurgical ,college1 ,philadelphia4 ,cr[n octavo1 #beb pages1 #ge illu/rations4 ,clo?1 #a4jj net4 ,9 ,saund]s' ,"q-,comp5d ,s]ies4 ,s\!rn ,practition] ,an excell5t little volume1 conta9+ correct & practical k4 ,an admirable comp5d1 & ! be/ cond5sation we h se54 ,b>ton & ,wells' ,m$ical ,!saurus ,a ,!saurus ( ,m$ical ,words & ,phrases4 ,by ,wilfr$ ,m4 ,b>ton1 ,m4,d41 ,assi/ant to ,pr(essor ( ,mat]ia ,m$ica & ,!rapeutics1 ,georget[n ,univ]sity1 ,wa%+ton1 ,d4,c42 & ,,walt] ,a4 ,,wells1 ,m4,d41 ,demon/rator ( ,l>yngology1 ,georget[n ,univ]sity1 ,wa%+ton1 ,d4,c4 #abmo ( #ecd pages4 ,flexible lea!r1 #b4ej net2 ) ?umb index1 #c4jj net4 99 99 99 99 99 ,transcrib]'s note3 ,*ang$ dioxid to dioxide 9 sev]al places ,made hyph5ation ( v>i\s words consi/5t ,page #gd3 ,correct$ misspell+ ( ,phlegmona ,page #ace3 ,correct$ misspell+ ( quantity ,page #ach3 *ang$ '1' to '4' at end ( s5t5ce ,page #bjh3 aquae rosae *ang$ to aquae rosae ,page #baj3 ,fix$ typographical error symptyms into symptoms ,page #bab3 ,fix$ typographical error ,decribe mycetoma into ,describe mycetoma ,page #bac3 ,fix$ typographical error iodid into iodide