The diseases of children : a short introduction to their study / by James Frederic Goodhart.
- Sir James Goodhart, 1st Baronet
- Date:
- 1891
Licence: Public Domain Mark
Credit: The diseases of children : a short introduction to their study / by James Frederic Goodhart. Source: Wellcome Collection.
Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.
717/774 page 691
![;iml it is for the most pait relieved by similar reme- dies—viz., the local application of tar soap and tai' ointment.s, and the internal administration t)f ai'.senic j bnt it is an intractable form of disease in children. The s<ipo cai-bcmis detergens, or tei'ebene soai), is good for these ca.ses, and the oil of cade, one part to three of vaseline, with some oil of lavendei', makes a service- able ointment; as also does licp carbonis detergens to vaseline 5j to 5ij. The nng. acidi chiysophanici (ten gi'ains to the ounce of benzoated lard) is also a useful remedy, but must be used with care, as it sometimes produces nedema, and some slight local intlammation of the part to which it is applied. It also stains the skin and linen, but the colour can be lemoveil by benzol or weak solutions of potash (Mar- tindale). Erythema may assume various forms. A wander- ing one, of erysipelatous nature, is not uncommon in young infants in out-patient practice among.st the ])Oor. The skin and subcutaneous tissue aie the pi'ey of a metastatic a>dema which flits from spot to spot. It is, in my experience, almost always fatal even when—and this is not rare—the constitutional dis- turlmnce is hai'dly ap))arent. The disease is probably of se])tic nature, and attention should be given to the condition of the umbilical soi-e; and the general hygiene of the house should l>e made the subject of special inquiry. Erythema nodosum i.s, however, alone definite enough to wairant moie special notice. It is not un- common. It i.s characterised l)y I'aised and tender lumps, which aj)pear mo.st often about the legs, on the front of the .shin, and about the calf. They are not so very infrecpient over the extensor surface of the forearm. The lumps quickly change colour, and 2)ass through the phases of discoloration of a liruise, ajid gradually (lisaj)pear. Erythema nodo.snm is often as.sociateil with other forms of erythema, and has thus received the name of er}dhema multiforme. The](https://iiif.wellcomecollection.org/image/b24990449_0717.jp2/full/800%2C/0/default.jpg)
