Identifier: amerbook00star (find matches)
Title: An American text-book of the diseases of children ..
Year: 1895 (1890s)
Authors: Starr, Louis, 1849-1925 Westcott, Thompson Seiser, 1862-
Subjects: Children
Publisher: Philadelphia, W.B. Saunders
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ases hemorrhagic, but presently become puriform.It is characteristic of herpetic vesicles that they do not rupture spontaneously,but in the course of some ten days to three weeks they desiccate into browncrusts, which, falling off, exhibit a reddened surface and not infrequently slightloss of substance. In children the neuralgic pain may entirely cease whenthe eruption appears, or in severe attacks it may persist throughout. In nearly every instance the eruption is unilateral, and but rarely recurs.Zoster is usually a descending interstitial neuritis of the spinal ganglion, butKaposi points out that it may be of cerebral, spinal, ganglionic, or peripheralorigin. Etiology.—Zoster is very common in young people, and is perhaps mostprevalent in the spring and autumn of the year. It is contended by someauthorities that this affection should be classed with the acute infectious dis-eases. Hutchinson thinks that zoster is prone to develop during an arsenicaltreatment. I I,. \ 1 I . « •
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HERPES ZOSTER DISEASES OF THE SEW. 1061 Diagnosis.—The recognition of an ordinary case of shingles presents nodifficulties : the grouped vesicles following the distribution of cutaneous nerves,the neuralgic pain, etc. are sufficiently patent symptoms. There are two points,however, worth remembering—viz. first, that zoster occurs elsewhere thanaround the trunk ; and, secondly, that sometimes there are abortive forms—that is, merely reddened patches or clustered papules that do not becomevesicular; but in both instances the grouping and distribution of the eruptionare the same, as is also the pain. Prognosis.—In children the prognosis of zoster is always favorable. Treatment.—Zoster is an acute self-limited disease, which, however, runsa very variable course, and conclusions as to the value of internal medication inits treatment are. therefore, usually fallacious. It is idle to attempt to abortan attack by remedies in our possession, and such treatment is restricted to thereli

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