Atlas and epitome of diseases of children / by R. Hecker and J. Trumpp ; edited by Isaac A. Abt.

  • Rudolf Hecker
Date:
1907
Catalogue details

Licence: In copyright

Credit: Atlas and epitome of diseases of children / by R. Hecker and J. Trumpp ; edited by Isaac A. Abt. Source: Wellcome Collection.

    535/586 (page 427)
    coloration aml the formation of papules, nodules, vesicles, and hemorrhages (Kaposi). Erythema Exudativum Multiforme.—Tliis disease con- sists of simultaneous and Symmetrie development of dis- seminated, Hat, or somewhat elevated red specks about the size of a pin’s liead on the backs of botli hands and feet, as well as on neighboring ])ortions of the forearms aml legs. These spots rapidly enlarge to the size of a silver dollar and tend in many instances to coalesce. The Centers of the larger specks appear bluish red, and when hemoglobin escapes from the vesscls they present varions colors, from blue to yellow, green, and brown. If fresh primary specks appear in the same areas they assume, on account of the hematin already present, a brick-red color (erythema iris). According to the grade of exudation we note the formation of papules, noAdes, vesicles (ery- thema papulatum, nrticarium, vesiculosum, bullosum; with a peripheral vesical border: herpes circinatus, herpes iris). The affection may, in the course of time, attack the skin of the wliole body, and also the tracheal and laryngeal mucous membrane. It runs, as a rule, an afeb- rile course accompanied bv moderate itching and termi- nating in from two to six weeks. Erythema Nodosum (Dermatitis Contusiformis).—Cap- illary stasis in and beneath the skin of the backs of both feet and legs, more rarely of the thighs, nates, and upper extremities, leads to the formation of dense, painful swellings and nodules about the size of a hazel-nut. Their appearance is accompanied bv gastric disturbances and swelling and painfulness of the joints. The skin covering the papules is rose red in color, but in from two to three days shows the gradual development of the same play of colors seen in the eruption of erythema exuda- tivum multiforme. The papules undergo resolutiou in from cight to fourteen days, yet the appearance of fresh crops of eruption may prolong the disease over six weeks or more. Treatment.—There is no especial treatment for erythe- ma exudativum multiforme. To allay the itching employ