. Diseases of women. A clinical guide to their diagnosis and treatment. it start from, or chiefly affect, the parts most liableto be moistened with saccharine urine ; nor does the dis-tribution of skin inflammation in diabetes correspond to theactivity of perspiration. Lecorche found pruritus presentin about a third of diabetic women. Glycosuria brings withit a tendency to inflammation of the skin, and the itching ofthe vulva is produced by this inflammation. In the majorityit is a dry papular inflammation; indeed, there mayhttle to be seen. The itching precedes the dermatitis,matitis is aggra
. Diseases of women. A clinical guide to their diagnosis and treatment. it start from, or chiefly affect, the parts most liableto be moistened with saccharine urine ; nor does the dis-tribution of skin inflammation in diabetes correspond to theactivity of perspiration. Lecorche found pruritus presentin about a third of diabetic women. Glycosuria brings withit a tendency to inflammation of the skin, and the itching ofthe vulva is produced by this inflammation. In the majorityit is a dry papular inflammation; indeed, there mayhttle to be seen. The itching precedes the dermatitis,matitis is aggravated by rubbing and eczema, with much discharge, or therethe labia. This tendency occursvulva is not uncommonlyto the doc Lor andn the urine. Faggeurs in those casesat and the typicald. Remember thatthing. sists of two parts— y diet, drugs, &c, works on general consists in great I shall elsewhere The difference atitis is that the cured the general improve the diabetes, ctive. unusual discharge whichmay cause itching. In Gynecology, Oct., PRURITUS VULVAE. 471 gonorrhoea, in cancer, in senile endometritis, irritation ofthe vulva may be a prominent symptom. Therefore, ininvestigating a case of pruritus, always inquire about dis-charge and notice the condition of the cervix and there is an abnormal discharge, you must correct thisto cure the itching. The treatment of the discharges I havedescribed in Part VI. In some of the worst cases of pruritus you will findnothing to account for it. You can see nothing wrong withthe skin or mucous membrane of the vulva. The patientwill tell you she has little or no discharge,and when you look you only find whitishmucus in the vagina. With this ap-parently healthy condition of the partthere may be continual itching, makingthe patient miserable, and this may occurin the virgin. I know not the cause ofthe itching in these cases, but I suspectit to be a microbe which decomposesthe. vaginal secretions and makes t
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