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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ently responsible forlimited areas of the disease. By someauthorities it has been regarded as con-tagious (Hillier and others), but cer-tainly in the majority of instances thisis not so, and it is likely that the re-corded cases of such character aresusceptible of some other explanation.Neither has the parasitic theory beenmaintained. The writer is in agreementwith most dermatologists in lookingupon alopecia areata as a trophoneurosis.Diagnosis.—The disease is so strik-ing that its recognition is a matter oflittle difficulty. Ringworm of the scalpbears the closest resemblance, but inthis latter affection the patches are notsmooth and glistening, but are coveredwith grayish scales, and scattered overthe surface are to be seen the stumps of broken-off hairs ; besides, if any doubtarise, the microscope will soon settle the question. Favus. syphilis, and cer-tain forms of folliculitis would also be differentiated. Prognosis.—The alopecia areata of young people generally tends to spon-
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Alopecia Areata. DJ&EASES OF THE SKIN. 1081 taneous recovery, although undoubtedly much hastened by appropriate treat-ment. Treatment.—There is do special internal treatment beyond attention toanv obvious defects of the general health. In rebellious cases -mall dos<arsenic mighl be tried. Locally, the demand is for thorough and persistentstimulation. The following, briskly rubbed in twice a day, is useful: K . A.cidi Balicylic Bj. Sulphuris praecipitati .-j. Vaselini 5J. Olei rosse q. s.—M. Equal parts of tincture of cantharides and glycerin serve an equally good purpose. Pilocarpine in ointment or the fluid extract of jaborandi in lotion may be advised. Galvanic stimulation with a metallic brush (negative pole) isalso to he recommended. In obstinate cases blistering limited regions at atime with cantharidal collodion gives excellent results. NEW GROWTHS.Kaposis Disease. This disease, which is also known as xeroderma pigmentosum and angiomapigmentosum et atrophicum. develop

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