Acne indurata : its treatment / by Henry W. Stelwagon.

  • Henry Weightman Stelwagon
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: Acne indurata : its treatment / by Henry W. Stelwagon. Source: Wellcome Collection.

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    ACNE INDCRATA; ITS TREATMENT.' BY HENRY W. STELWAGON, M.D., Physician to the Philadelphia Dispensary for Skin*Diseases and Service for Skin Diseases of the Northern Dispensary; Chief of the Skin Dispensary, Hospital of the University of Penn¬ sylvania; Attending Physician to the Howard Hospital (Skin Department). LOCAL treatment may remove acne, and in a sense the acne may be said to be cured. Once removed, however, does not signify a per¬ manent freedom. On the other hand, constitutional treatment alone is rarely capable of causing a disappearance of acne papules and pustules, although, when removed by local means, it may and will fre¬ quently prevent a return of the eruption. In no other class of acne cases is the futility of internal medication alone so forcibly illustrated as in the indurated variety. The patient may be purged, toned up, or subjected to a course of alteratives, and yet the eruption remains about the same, or at the best is only slightly modified. To remove the exist¬ ing lesions, local treatment is always necessary, and even then the erup¬ tion may at times prove exceedingly obstinate. In ordinary acne various plans of local treatment are equally efficacious, and simple in character. This cannot be said of acne indurata. At times it will yield somewhat to lotion and ointments, but in the greater number of cases, and in fact in nearly all, either operative measures will be called in requisition, or strong applications be found necessary. There are several of the so-called operative methods, although they 1 Bead before the Northern Medical Association of Philadelphia.