Gynecology . Fig. 50.—Kraurosis Vui-v^;.The clitoris and labia minora have disappeared. The vulva is white and creased. The vaginais atrophied and stiff at the introitus. This was an extreme case and was inoperable on account ofthe extension of the disease into the orifices of the vagina and urethra. The treatment of advanced cases is vulvectomy, if the process has not in-volved the vestibule and vaginal introitus too much. Several cures from ovarian extract have been reported, one of them by theauthor. In this condition ovarian extract theoretically works benefit by itspower to cause hyperemi
Gynecology . Fig. 50.—Kraurosis Vui-v^;.The clitoris and labia minora have disappeared. The vulva is white and creased. The vaginais atrophied and stiff at the introitus. This was an extreme case and was inoperable on account ofthe extension of the disease into the orifices of the vagina and urethra. The treatment of advanced cases is vulvectomy, if the process has not in-volved the vestibule and vaginal introitus too much. Several cures from ovarian extract have been reported, one of them by theauthor. In this condition ovarian extract theoretically works benefit by itspower to cause hyperemia of the external genitals and thus improve the circula-tion. Results seem tq bear out the theory. L92 GYNECOLOGY. Fig. 51.—Kraurosis power. On the surface is a thick stratum corneum, under which is the stratum granulosum,much thinner than normal. The line between this layer and the corium is less wavy than usual, dueto poor development of the papillae of the corium. The corium consists of dense connective tissuecontaining few nuclei. PRURITUS Pruritus means itching and, strictly speaking, describes a symptom ratherthan a disease. Common usage, however, treats pruritus as a disease, and weshall, therefore, use the term in that sense. Pruritus is closely related to kraurosis, which it always precedes as an earlierstage. It is characterized at first by a reddening and thickening of the vulvalcuticle associated with intense burning and itching. The surface gradually be-comes pale and parchment-like, with a tendency to cracks and fissures. As theprocess continues it merges into the condition of kraurosis. There is no markeddividing line between pruritus and kraurosis, and they must be reg
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