Diseases of the skin : their description, pathology, diagnosis, and treatment / by H. Radcliffe Crocker.

  • Henry Radcliffe Crocker
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the skin : their description, pathology, diagnosis, and treatment / by H. Radcliffe Crocker. Source: Wellcome Collection.

    607/786 (page 571)
    SEBORRHCEA. 5 7* cases in the scalp I have found to be ung. hyd. nit. 5j to 3iv, ol cadini 5j, ol. oliv^e e$ij, lanolin 31V, misce; this is to be well rubbed in every night, and, if the daily avocations require it, washed off with borax 5ij to water Oj, and then a little almond oil may be rubbed in, or the ung. hyd. oxid. flav. may be used instead of the nitrate, with or without the oil of cade. Where there is hyperemia, a soothing remedy may be necessary at first, thus on the face liq. plumbi subacet. nixxx, vasel. alb. % is a good remedy; sulphur applications are very useful for the face, or where there is only slight hyperemia, precipitated sulphur may be scented with attar of rose and used with a powder puff; for the body ten to thirty grains of sulphur to an ounce of lanolin is all that is required, but sometimes 5] to the g is employed. Whatever the treatment adopted, it should be energetically and perseveringly pursued. Under the name of alopecia pityrodes universalis, P. Michelson describes * a rapid and general denudation of hair occurring in debilitated states, which differs from the malignant alopecia areata universalis in being preceded by abundant desquamation of fatty scales; in the apparently bald places being covered with fine colourless lanugo hairs, or with hair rudiments ; and instead of the skin being thin and lax as in alopecia areata, being rather firmer and stiffer than normal. Moreover, the prognosis is good. Besides general tonic measures, Michelson recommends local, ablution with spirituous soaps, or weak solutions of corrosive sublimate or chloral hydrate. It appears to me to correspond with seborrhcea sicca except in the rapidity and extent of the denudation of the hair. The only instance I have met with corresponding to it, in this respect, was. that of a young man in whom, after an attack of erysipelas of the head, the whole scalp became scaly, and tufts of hair could be pulled out all over with very slight traction. New hair grew up rapidly; this condition may, however, have been merely the result of the desquamation which is the usual sequel of erysipelas. * Monatsheftc f. Pract. Dcrmat, 1882, No. 4, and Ziemssen, p. 418.