Atlas and epitome of diseases of children / by R. Hecker and J. Trumpp ; edited by Isaac A. Abt.
- Rudolf Hecker
- Date:
- 1907
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.
537/586 (page 429)
![insect bites, burns, dyspepsia, intestinal parasites, certain foods (strawberries), and psvchic infiuence, and disap- pears rapidly in a few hours or days, accompanied by moderate scaling of the skin, and occasionally leaving yellow specks hehind. Symptoms.—The wheals, which are circumscribed eleva- tions of the skin due to the collection of a serous fluid in the rete, are white or rose red in eolor and surrounded by a red areola. They vary in size from a lentil sced to that of a twenty-five-cent piece, and tend frequently to coalesce into extensive irregulär figures. The face and joints are attacked by preference (when localized in the orbital region no wheals develop, but the lids are red and edema- tous). The appearance of wheals is associated with itch- ing or burning, which increases when resting in bcd. Fever is occasionally present. Recurrences are especially frequent in nervous subjects. Treatment.—When possible remove the cause. Locally apply cooling lotions and the salicylates in the powder form. [Laxatives are indicated in the persistent forms. Belladonna or atropin in minute doses brings rclief.—Ed.] LICHEN SCROFULOSORUM Scrofulous children, especially at the age of puberty, occasionally develop gradually and unnoticeably an erup- tion which itches but slightly and consists of flat, pale red or yellowish-brown papules. The latter vary in size from a millet seed to a pin’s head, are but slightly resistent, and possess a scaly summit. They are arranged in groups or in circles, chieflv upon the trunk, less rarely lipon the extremities, and remain unaltered for months, after which they gradually fade and undergo resolution accompanied by moderate exfoliation. Anatomically the local process consists of a cellular Infiltration and exuda- tion in the neighborhood of the orifices of the hair-follicles (Kaposi). The cause of this condition is scrofula, and other Symptoms of that disease are always present, espe- cially marked lymphatic swelling. (Since the genetic](https://iiif.wellcomecollection.org/image/b28128540_0537.jp2/full/800%2C/0/default.jpg)
