Observations on the various forms of superficial dermatitis : particularly erythema, eczema, psoriasis, lichen, and pityriasis rubra with cases / by P.H. Pye-Smith.

  • Pye-Smith, Philip Henry, 1840-1914.
Date:
[1881?]
Catalogue details

Licence: Public Domain Mark

Credit: Observations on the various forms of superficial dermatitis : particularly erythema, eczema, psoriasis, lichen, and pityriasis rubra with cases / by P.H. Pye-Smith. Source: Wellcome Collection.

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    beginning to heal by desquamation. There is now no moisture anywhere, and the patient assures me that there never has been, even at the flexures of the joints. There is abundant exfoliation of small, white, branny scales, but none of the large, thin, hop-like squames seen and described in most cases. The curved white edges of exfoliation, compared by Mr. Wilson to frills, to scale armour, and to the ribbed sand on the shore, are well marked. The skin is not very pain- ful, and less irritable than one would suppose. The colour is a full, bright, “ inflammatory ” redness, without lividity or the slightest pigmentation. The various organs appear to be normal, and the urine is free from albumen. The patient says that her general health is very good, except when the eruption has receded, as it did between the ages of sixteen and twenty- eight. No treatment had a decisive effect, and she left the hospital in May much as she came in. Case 2.—General exfoliative dermatitis, with free eczema- tous secretion; acute course ; albuminuria ; recovery.—A woman, set. 26, was transferred to my care by Dr. Galabin in October, 1878, with general acute dermatitis. The following is a summary of the case : Ann S—, suffering from pelvic cellulitis, was attacked while in the ward with a papular, measle-like rash on the trunk and legs, accompanied with slight sore-throat and raised temperature. Two days later, the temperature rose to 104°, and albumen appeared in the urine. The rash was not like that of scarlatina, measles, or rubeola; nor was the state of the tongue, throat, or other organs, like that in any of these exanthems. It had spread over the whole body excepting the palms and soles in a week, vesicles appeared on the chest, bullae, on the arms and legs, and a raw weeping patch behind one ear. Three weeks from the first appearance of the rash, the fever and albuminuria had disappeared, and free desquamation was going on ; branny, like pityriasis, on the scalp and face, in large flakes on the hands. Impetiginous crusts had formed on the chin and on the limbs, and there was profuse serous secretion from the ears, neck, and arms. As involution went on, the previous pain was succeeded by intolerable itching, which gradually also disappeared. An abscess formed in one axilla; and a fresh papular eruption appeared on the chest and limbs on