An American text-book of the diseases of children. Including special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the (14779144562)

Identifier: americantextbook1900star (find matches)
Title: An American text-book of the diseases of children. Including special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children
Year: 1900 (1900s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson S. (Thompson Seiser), 1862-1933
Subjects: Children Pediatrics Disease
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons



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igations are contradictory. Diagnosis.—Seborrhoea, eczema, and syphilis are the diseases that bearthe closest resemblance to psoriasis. In seborrhoea of the scalp the scales aregreasy and yellowish, and not dry and white, as in psoriasis, and the eruptiondoes not take the form of bands and patches, as in the latter disease ; more-over, seborrhoea affecting the scalp may be limited to that region, whereaspsoriasis of the scalp will occur in connection with the same eruption on theelbows and knees and other parts of the body. Seborrhoea of the body is notnecessarily symmetrical, and is found particularly about the sternal and inter-scapular region, Avhile psoriasis is nearly always symmetrically disposed, andaffects the elbows and knees in addition to other parts of the body. Thecharacter of the scales is the same as in seborrhoea of the scalp, and they differaltogether from those found in psoriasis. Scaly or squamous eczema in patches sometimes strongly simulates psoriasis. PLATE XXV
Text Appearing After Image:
PSORIASIS.(From the Collection of Geo. H. Fox, M. D.) DISEASES OF THE SKIN. 1113 but the patches of eczema are not symmetrically arranged, occur on the flexorrather than the extensor surfaces, and the scales are light, tenacious, and do notshow a punctate bleeding surface when removed; besides, eczema itchesmarkedly, and theie is usually a history of discharge. The scaling syphilides are not unlike psoriasis in a superficial way. Thehistory of the case must always be taken into consideration, and the presenceof concomitant symptoms noted. The scales of the squamous syphilide aredirtier-looking and more adherent than in psoriasis, and the patch is usuallymore infiltrated. Again, the fact that psoriasis is almost always found on theelbows and knees on both sides of the body, and that the syphilide observes nosuch localization, is to be kept in mind. Prognosis.—The prognosis as to permanent cure is unfavorable, but it isusually easy to remove the eruption temporarily. Treatment.—Beyo