Cyclopaedia of the diseases of children, medical and surgical / The articles written especially for the work by American, British, and Canadian authors. Ed. by John M. Keating.

  • Keating, John M. (John Marie), 1852-1893.
Date:
[1889-99]
Catalogue details

Licence: Public Domain Mark

Credit: Cyclopaedia of the diseases of children, medical and surgical / The articles written especially for the work by American, British, and Canadian authors. Ed. by John M. Keating. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

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    phyton may readily be distinguished by the microscope. Lupus erythema- tosus of the face is characterized by darker patches and more adherent scales, which are never fatty, the patches moreover being more infiltrated. Prognosis.—The prognosis of seborrhoea in children is decidedly favor- able. Treatment;—Internal treatment of this affection often requires at the outset an alterative cathartic, such as calomel or the gray powder, to be repeated as desired. The ferruginous tonics and cod-liver oil are indicated in many cases. The diet is to be regulated with especial care (excluding pastry, confectionery, hot bread, and oatmeal). The general surface of the body should be cleansed daily by a soap-and-water bath. Often the sul- phide of calcium may be administered with advantage, in doses of one-tenth of a grain (.0066) three or four times a day. Arsenic is rarely indicated in these cases. Locally, all crusts should be softened by maceration in some fatty substance (almond or olive oil, vaseline, cold cream, glycerin-and- water), and then removed by washing in hot water and common toilet- soap, or green soap, or by the use of the alkaline spirit of soap of Hebra (sapo viridis two parts, alcohol one part, filtered and flavored with the tincture of lavender). After this a sulphur salve, one to two drachms (4.-8.) of precipitated sulphur to the ounce (32.) of salve-basis (lanoline, benzoinated sebum), may be applied. One ounce each (32.) of precipitated sulphur, alcohol, glycerin, tincture of lavender, and rose-water may also be shaken up together and used as a lotion. Another lotion popularly employed for this purpose is one in which to an ounce (32.) of cologne-water are added half a drachm (2.) each of glycerin and castor oil, and five minims (0.33) of carbolic acid. One to two drachms (4.-8.) of the tincture of cantharides or of the tincture of nux vomica may be added instead to four ounces (128.) of the rectified spirit of wine. Mercurial salves are also useful for the same purposes,—the amraonio-chloride, or red oxide, in the strength of from five to ten grains (0.33-0.66) to the ounce (32.). Carbolated, borated, and salicylated spirit lotions, one part of each to one hundred of cologne- water, with five parts of glycerin, are valuable for local applications to prevent the recurrence of these troubles. The spirit lotions are to be pre- ferred in the local management of seborrhoea of the genital regions. COMEDO. Derivation.—Latin comedo, a spendthrift. Synonymes.—Fleshworms; Skin-grub; Latin, Acne punctata; Ger- man, Mittesser; French, Acn6 ponctuee. Definition.—Comedo is an accumulation of inspissated secretion in the efferent duct of a sebaceous. gland, exhibited externally as a yellowish or whitish pin-head-sized elevation or depression of the dilated follicular orifice, with a yellowish, bluish, or blackish central point.