INFLAMMATION of the Skin. (Dermatitis).—This is due to many causes. It can come from injuries, for instance the rubbing or pressure of ill-fitting clothes, bandages, bites of insects and from scratching.
Varieties.—Dermatitis ambustionis, (burning). This is due to excessive heat upon the skin.
[SKIN DISEASES 63]
PHYSICIANS' TREATMENT for Inflammation of the Skin.—Relieve the pain; protect the parts; exclude the air. Paint the burned part with a one to five per cent solution of cocaine, according to the severity of inflammation. Then apply soothing lotions of equal parts of lime-water and olive or linseed oil; cover the whole with absorbent cotton. Dusting powder of soda bicarbonate may also be used, or common soda. In burns with vesicles, etc., open them and then cover with carbolized oil, gauze and adhesive to hold the dressing. The parts can be washed with a solution of boric acid, one teaspoonful to a cup of water; then dust upon the parts sugar of lead once or twice a day. Some use it in solution; I like the powder better. Infusion of lobelia, one ounce to pint of hot water, is good. Also lead and laudanum wash.
ECZEMA. (Humid Tetter-Salt Rheum-Dry Tetter). Definition.—Eczema is an inflammatory disease of the skin, characterized at its commencement by redness, pimples, vesicles, pustules and their combinations, with itching and burning. It terminates in a watery or pus-like discharge with the formation of crusts or scaling.
Varieties.—There are many varieties, red, scaly, fissured, watery looking and hard skin.
Symptoms.—Itching is almost always a symptom of this disease. There is more or less pouring out of liquid (serum). The dry, scaly type, and the weeping type, may alternate with each other. There are six cardinal symptoms; inflammation, itching, moisture, crusting, infiltration (liquid filling of the tissues), fissuring or cracking. Dr. Fox says that nearly one-third of all skin diseases are eczema in some of its stages or varieties. In one kind there is red spot (macule). The skin is dry, of a bright or dull red color, with intense itching or burning, more or less watery swelling in the acute stage. In the chronic stage, the skin becomes thick and covered with fine dry scales, usually in the face (Eczema Erythematosum).
Eczema Vesiculosum. (Vesicular Eczema).—This is preceded by a feeling of heat and irritation about the part. In a short time pinhead sized vesicles appear. These frequently run together and form patches. They rupture rapidly; the liquid is poured out, dries up and forms crusts. The discharge stiffens linen, a characteristic of this variety.
Eczema Pustulosum. (Pustules). Pustular Kind.—This is nearly like the preceding. The vesicles have pus in them from the start or develop from the vesicles. When the pustules rupture, their contents dry up to the thick greenish-yellow crusts. The scalp and face, in children especially, are the favored spots for this kind. It occurs in poorly nourished children.