. Manual of antenatal pathology and hygiene : the foetus. ld, ice, to the abdomen has met with no con-spicuous success), and to give some styptic internally. Possibly itmay be found that the injection of a solution of gelatin (5 per cent,to 10 per cent.) into the bowel will give good results. Keratolysis Neonatorum. Under this name, or under its synonyms (Dermatitis exfoliativaneonatorum, Eitters disease. Dermatitis erysipelatosa) is knownan affection of the new-born, whose most prominent symptom isan exaggerated cuticular desquamation. I say exaggerated, forthere is a physiological furfu


. Manual of antenatal pathology and hygiene : the foetus. ld, ice, to the abdomen has met with no con-spicuous success), and to give some styptic internally. Possibly itmay be found that the injection of a solution of gelatin (5 per cent,to 10 per cent.) into the bowel will give good results. Keratolysis Neonatorum. Under this name, or under its synonyms (Dermatitis exfoliativaneonatorum, Eitters disease. Dermatitis erysipelatosa) is knownan affection of the new-born, whose most prominent symptom isan exaggerated cuticular desquamation. I say exaggerated, forthere is a physiological furfuraceous or finely lamellar exfoliationof the epidermis which occurs in all new-born infants. It is oneof the outward manifestations of the readjustment changes whichfollow birth; but there is some degree of mystery as to its causation,possibly it may be produced simply by the drying of the epidermisin the absence of the liquor amnii, possibly there is a deeper seatedand more recondite cause than that. At any rate, a clearing up KERATOLYSIS NEONATORUM 73. Fig. 6. of our knowledge of the physiological desquamation of the new-borncould not but prove of value in elucidating the pathogenesis of Eittersdisease. In Figs. 6 and 7 are high and low power micro-photographsof the appearances of theskin in a new-born infant,with perhaps an excessivedegree of desquamation,certainly with a wellmarked degree of it. Thelooseness of attachment ofthe layers of the stratumcorneum is in these clearlydisplayed, and there canbe no doubt that in thenew-born the normal inthis respect very easilymay pass over into thepathological. In Eittersdisease, how^ever, there areother signs than epidermicdesquamation. There are,according to Eitter him-self (1) a ]Drodromal stage,in which there is a dry scaly condition of the epidermis; (2) a stageof erythema and exudation; (3) one of exfoliation and drying, thedesquamation following progressively the march of the redness; (4)one of reintegration of the epidermis,


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectfetus, bookyear1902