Diseases of the skin

Front matter

V c°.

^0^

*bV"

Preface To The Second Edition

While every attempt has been made to bring this edition up to date

in all departments, none of the original feature- have been shelved, and conciseness and brevity arc as before, coupled with a self-evident system of simplicity. No better explanation of tin- objects in view in the preparation of this treatise can 1m- offered than the following paragraph from

the preface to the first edition:

"The besl method of studying disease is that which yields the mosl practical information a- to the causes, nature, course and symptom- of a given malady and the therapeutic measures required for it- -afe and speedy relief or cure. The aim in the following pages ha- been to furnish the entials of skin diseases in such form as to be clear and accessible to the -indent and general practitioner- especially a- indicating principles or mean- of treatment. Hence etiology, symptomatology and diagnosis are given more prominence than pathology, not because the latter is lacking in interest, bul rather that it i- of leasl importance in a work not designed for the use of specialist

In the preparation of this edition, every page ha- been revised ami many portion- rewritten, particularly those sections dealing with pathol-

and treatment. Tin eneral classification is retained, although

a number of di- igned to different groups because further in\

tigation ha- established their real nature or because original research has demonstrated something specific in their character. Possibly one of the most important addition- to this edition will he found under the general remark- on treatment iii Pari I. and ileal- with phototherapy, radiotherapy and other physical agents. A further discussion of these subjects will be found in the sections devoted to the treatment of those diseases which call for these method-. Part III i- added to embrace a brief consideration of internal therapeutics, a- shown by a discussion of the action of drugs. The remedies are arranged alphabetically, and being all grouped together

make the matter of reference much simpler and obviate the necessity of frequent repetition. Again quoting the preface to the original edition: "It is hoped that a brief statement of the general sphere of action of drugs may .-how the adaptability of some remedy to one of the varied assemblages of the phenomena of disease presenting from time to time: most of the indications given have been verified, many of them by the author. 8 mc of the illustrations of cutaneous diseases serve the double purpose

\ iii PREFACE TO THE SECOND EDITION

of depicting objective lesions and the principles of treatment related to their cure. An ideal in therapeutics has been striven for, though far from attained, yet sufficiently demonstrated in practice to justify the belief in its practical utility in the art of dermatology."

Seventy new illustrations are presented in this edition, the majority being from photographs taken by the editor, and the following new subjects are introduced: Radiotherapy, Phototherapy, High Tension and Frequency Currents, Becquerel Rays, Vibration and Mechanical Vibratory Massage, Monilethrix, Lepothrix, Tinea Nodosa, Rontgen-ray Dermatitis, Dermatitis Gangrenosa, Varicose Ulcer, Atrophia Cutis, Atrophia Senilis, Kraurosis Vulva?, Echinococcus, Demodex Folliculorum, Dhobie Itch, Blastomycosis, Myringomycosis, Colchicum, Cuprum Arsenicosum, and Fagopyrum, while many other sections have been completely rewritten.

The editor desires to acknowledge the courtesy of those colleagues who have assisted in any way in the revision of this work, especially the resident physicians of the metropolitan hospitals which the editor attends. Frequent reference has been made to the standard works on diseases of the skin, both of foreign and American authorship, also to the current medical journals, especially to the Journal oj Cutaneous and Venereal Dist-ases.

It is hoped that the form and appearance of this volume, the mechanical changes, and such additions as a lapse of three years demands, will meet the approval of the profession.

FREDERICK M. DEARBORN.

New York City,

146 West 57th Street.

Contents

TART I GENERAL PRINCIPLES

ANATOM*

6 Si douf '

Part II Special Diseases Class I. -dis] Of The Cutaneous Appendages

A.— DISl ! I UK n\\ EAT GLANDS

i-i.. i

Hyfbbidbosu til

Bbomidbosu 82 i Ihbokidwmu 64

Hi mm ii>ici-is (i:>

Pbmphoh -< i m Sweai <i.">

Bnw ! BTOM \ 68

Mm iu; i una t;t;

Mii.iaui k Rl BBA liT llvi>li U>l il-i BATH v

i: Hi- 1 HE "II. GLANDS

Ibteatosih 70

-i BOBBBa \ 7 • »

IIDO 80

Mi i.i i \i

\i M \ tBIOl DOBMU 91

i»i-i USES OF i hi: h \ii;

llvriitiun BOB] 92

Tick hi \~i- 95

Dim H HIASU 95

1'it \.. ii [TAB i i:i mi \i . . . 95

I HOttBBXIB MOOOH \ '■"'>

m«pmi etrbix 97

i.iimiiiuix . 98

Tim \ NfODOfl \ 98

I \MMI- 99

Plica . i<»<>

An. ii i i \ LO]

\i "ii I I \ \i:i v i \ l""i

Di i;m \ I II Is Pun I LBIB i M-ll.l HIT 112

D.— DISEASES OF THE NAILS

PAG E

Onychauxis 114

Pterygium .- - 115

Onychomycosis 115

Atrophia Unguis 116

Spoon Nails 117

White " 117

Reedy " 117

Onychia 118

CLASS II.— IDIOPATHIC' AFFECTIONS

Lentigo : 119

Chloasma 120

Erythema Neonatorum 124

Erythema Intertrigo '. 124

Erythema Traumaticum 126

Erythema Caloricum 120

Erythema Scarlatiniforme 127

Erythema Multiforme 130

Erythema Iris 132

Erythema Nodosum ' 133

Dermatitis 136

Dermatitis Calorica 137

Dermatitis Traumatica 141

Ron'jgen Ray Dermatitis 141

Drug Eruptions 142

Vaccination Eruptions • 150

Feigned Eruptions 153

Trade Eruptions 1 54

CLASS III.— DIATHETIC AFFECTIOXS

Dermatitis Exfoliativa 1S7

Dermatitis Exfoliativa Epidemica 191

Dermatitis Exfoliativa Neonatorum 192

Dermatitis Gangrenosa 194

Multiple Gangrene 194

Hysterical Gangrene 194

Diabetic Gangrene 104

Dermatitis Gangrenosa Infantum 195

Varicose Ulcer 190

Pityriasis Rosea 198

Lichen 200

CONTENTS xiii

PAG!

Pakakkka tonis VaRXEOATA 208

KERATOSIS Pilaris 209

Ki.I'.ai :us 210

icbthtosis 21:5

si i.kk1 ma nconatordm 217

(Edema Neon itori m . 218

• LASS [V.— NEUBOPATHIC AFFECTIONS

Hyperesthesia 220

AJMMtheaia 221 matalgia 221

Pki BXTtJS 222

l*Ul RUM 22li

Pi IF) U

III RPBS 242

- I \i LAXJfl

Hi mi 245

roams 260

I Mil I I .ii III R|>| l II ORMIfl 264 i km \i ii i- Pn 256

Pi i i LORA 2.">7

IIVI.U >\

Pomphoi \ \ 200

Pi mii 2H1

Dn i i -i ii Btmhetu i \ 268

I lid I USCBIOl D I 271 ism 274

Vim mo 27 1

Atrophia Maculosa n Striata 277

Kit A I HUMS Vl |A I 278 or the Fooi 279

Trophic Ulcers . 280

SVMMIIItKM 1 ,li;iMIMI> 280

A I Ml I M 28]

Sybini 282

XIV CONTENTS

CLASS V.— PARASITIC AFFECTIONS

A.— ANIMAL PARASITIC DISEASES PAGE

Scabies 283

Pediculosis Capitis 288

Pediculosis Corporis 290

Pediculosis Pubis 292

Pulex Irritans 293

Pulex Penetrans 293

Cimex Lectularius 294

Culix Pipiens 294

Apes Mellifer.e 294

Simulia 294

Yespid^e 204

Leptus Autumnalis 294

Ixodes Ricinus 294

Dermanyssus Avium 295

fllaria medinensis 295

Cysticerus Cellulose Cutis 296

Echinococcus 296

Demodex Folliculorum 297

B.— VEGETABLE PARASITIC DISEASES

Tinea Circinata 303

Tinea Tonsurans 303

Tinea Barbae 305

Tinea Versicolor 315

Tinea Imbricata '. 318

Erythrasma 320

Dhobie Itch 321

Blastomycosis 322

Myringomycosis 323

Pinto Disease 323

Mycetoma 32S

Impetigo 330

Impetigo Contagiosa 332

Ecthyma 334

Furunculus 341

Carbunculus 344

Anthrax 347

Dissection Wounds 350

RlIINOSCLEROMA 351

Oriental Boil 352

Phaged.ena Tropica 353

Tuberculosis Cutis 358

Tuberculosis Cutis Orificialis 359

CONTENTS xv

Li Ft B \'l LOABU3 363

Scbofi LODEBMA 369

I.K MhN >( BOl i 382

-42!!

Kyi ima 442

PELOID 447

CLASS \ [.—NEW GROWTHS A.— BENIGN CONNECTIVE TISSUE GROWTHB

I tnOM v 44!»

( l< ATMX 152

JLuri boh v 453

XAHTuOMA iMI-lil ll« <i|; i 4.V!

I.I ' M \

liTOM I 456

Nil BOM v 456

4.")7

II. I

I elungii

Angioma Sei piginiaum

An

1.1 Mill \ IOIOM \ •'•I

in:;

\i \ s i Hoaia Nil km i\. nil

Mi ae 465

i ..I i oio |i;: '

Myxikdiima . 171

\ ■ , . ... 472

B BENIGN EPITHELIAL GROW rHS

4 ~ ;)

\ 177

I'.MII I'M \ I I II- '""

Mm LI SCUM COW! LGIOSI II 4M

Mi i.i i ii i Bsxioif Ctstk EPITHELIOMA 182

*83

,M

I Ml xvi CONTENTS

C— MALIGNANT EPITHELIAL GROWTHS PAGE

Cancer ,. . . . 48G

Epithelioma 48C

Rodent ulcer i 487

Paget's Disease of the Nipple 4S8

Carcinoma Cutis 494

D.— MALIGNANT CONNECTIVE TISSUE -GROWTHS

Sarcoma Cutis ., 495

Mycosis Fungoides 498

Xeroderma Pigmentosum 500

Verruga 502