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.

    542/586 (page 434)
    PLATE 48 Scabies.—A minute papular and, in some areas, pustular eczema, causing itcliing, developed 011 the whole body with the exception of the head, in a girl thirteen years old, wliose sisters suffered frorn the same aü'ection. The eruption, which occurs mainly in isulated areas, shows nnieh scratching and is covered with bloody scabs. The eczema is most rnarked in the flexuresof the joints. The picture of the hands shows the eruption followiug chiefly the interdigital folds and deeper skin furrows. The first hand shows several burrows (not well reproduced). The disease has existed for two weeks. Eecovery in five days by meaus of energetic rubbing with a sulphur ointment. Mite-burrows, which are especially prominent and 1111- merous in the locations of predilection. Treatment.—Destroy the mite and its eggs and after- ward eure the eczema. To fulfil the first demand rub energetically with [Wilkinson’s ointment: Precipitated calcium carbonate, 10 parts ; sublimed sulphur, 15 parts ; oil of cade, 15 parts ; soft soap, 30 parts ; lard, 30 parts. —Ed.], to be repeated on four successive days (painful but radical eure). Give a cieansing bath on thefifth dav and put on fresh body- and bedelothes. Future bathsare to be limited on account of the eczema. PEDICULOSIS CAPILLITII Pediculosis capillitii is pre-eminently an impetiginous eczema of the scalp which is caused by the head-louse (Pediculus capitis), and which is frcquently accompanied by swelling of the lymph-nodes with the formation of abseesses. Insomnia on account of the itching. Anemia. Diagnosis is established by the discovery of the louse or by its eggs, which are found adhering to the hair. Pis- seminated eczematous pustules at the edge of the scalp are always suspicious. Treatment.—To kill the lice rub the head with petro- leum, but in case of pronounced inflammation it is wiser to employ a 10 per cent. white precipitate ointment. The nits may be removed by combing the hair with a fine comb which has been immersed in acetic acid. Treat the eczema.