Identifier: photographicatla01foxguoft (find matches)
Title: Photographic atlas of the diseases of the skin; a series of ninety-six plates, comprising nearly two hundred illustrations, with descriptive text, and a treatise on cutaneous therapeutics
Year: 1905 (1900s)
Authors: Fox, George Henry, 1846-1937
Subjects: Dermatology
Publisher: Philadelphia Lippincott
Contributing Library: Gerstein - University of Toronto
Digitizing Sponsor: University of Toronto

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crotic tissue tendingto unite and form one large slough. Upon the successful effort toprevent these necrotic foci from enlarging, through antiphlogisticapplications and the injection of carbolic acid, depends in largemeasure the extent and duration of the disease and the characterof the resulting scar. The second illustration shows the cribriform condition of theintegument which is characteristic of the latter stage of a carbuncle,with pus oozing through a large number of openings. The separatemasses of sloughing tissue beneath these apertures generally unite,especially if a deep crucial incision be made, and when this largeslough is removed by the natural course of suppuration or dissectedout by means of forceps and scissors, a large ulcer and a disfiguringcicatrix inevitably result. When carbolic acid is injected at theoutset and the small cavities are repeatedly swabbed with thisremedy, the sloughing process is greatly lessened and the resultingscar is far less unsightly. PLATE VI.
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Copyright, 1905, by G. II. I< CARBUNCULUS PLATE VII. CHLOASMA CHLOASMA Chloasma is an abnormal pigmentation of the skin usually uponthe forehead, cheeks and neck. It appears in the form of irregularbrownish patches and is commonly bilateral, if not symmetrical. Its cause is obscure in most cases. The common name ofMiver spots, which is often applied to this atfeftion as well as tochromophytosis, is based upon surmise rather than upon any de-monstrable relation to hepatic derangement. It occurs often duringpregnancy and in connexion with uterine derangement, but not withsufficient frequency to warrant the use of the name chloasmauterinum which was formerly in vogue. It is sometimes difficult to distinguish the affeftion fromvitiligo which is due to an opposite condition, viz.. a loss of normalpigmentation. The skin surrounding patches of vitiligo is alwaysdarker tiian normal, and on the face this affeftion may look verymuch like chloasma. On the other hand, the normal skin surround-

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