. The diseases of children : medical and surgical. us is one of the mosttroublesome of the skin diseases met with in tuberculous subjects, especiallyas great deformity and disfigurement are often produced by its scraping out a lupus tubercle a hollow or pit is seen in the thicknessof the dermis, while at the edge of the patch the superficial part of the skinis undermined. Treatment.—The general treatment is that of tuberculosis, cod-liver oiland arsenic being of especial value. Locally nothing is so effectual asthorough removal of the disease mechanically. It is best to give ananaes
. The diseases of children : medical and surgical. us is one of the mosttroublesome of the skin diseases met with in tuberculous subjects, especiallyas great deformity and disfigurement are often produced by its scraping out a lupus tubercle a hollow or pit is seen in the thicknessof the dermis, while at the edge of the patch the superficial part of the skinis undermined. Treatment.—The general treatment is that of tuberculosis, cod-liver oiland arsenic being of especial value. Locally nothing is so effectual asthorough removal of the disease mechanically. It is best to give ananaesthetic, and thoroughly scrape away and dig out all the soft tissue with asharp spoon. All the material that can be scraped away should be removed ;healthy skin will not break down under the use of a Volkmanns the scraping the actual cautery or solid nitrate of silver, or, better still,powdered nitrate of lead, may be applied, but the mechanical removal is themost important part of the process. There is free bleeding at the time, but. Fii 206.—Hairy mole of the faceand scalp. A large part of thepatch was removed by the use ofthe actual cautery and nitric acid. Hairy and Pigmented Moles 799 this speedily stops. The sore should be dressed with iodoform ointment, and;v careful watch kept for the appearance of fresh tubercles, which should lae atonce attacked in the same way. The repeated application of powderednitrate of lead has been very useful in our hands, both for lupus and otherintractable tuberculous sores ; it is somewhat painful, but very of tuberculin have recently been employed with some in many cases there is a temporary improvement, but relapses arevery apt to occur. Papilloma.—Warts are very commonly met with on childrens hands,and often appear in crops. They frequently disappear spontaneously, but ifthey are troublesome may be readily cured by some caustic application, orbetter by the steady use of salicylic co
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