stellate appearance.
#Acute Abscesses of the Skin and Subcutaneous Tissue in Young
Children.#--In young infants, abscesses are not infrequently met with
scattered over the trunk and limbs, and are probably the result of
infection of the sebaceous glands from dirty underclothing. The
abscesses should be opened, and the further spread of infection
prevented by cleansing of the skin and by the use of clean under-linen.
Similar abscesses are met with on the scalp in association with eczema,
impetigo, and pediculosis.
#Veldt Sore.#--This sore usually originates in an abrasion of the
epidermis, such as a sun blister, the bite of an insect, or a scratch. A
pustule forms and bursts, and a brownish-yellow scab forms over it. When
this is removed, an ulcer is left which has little tendency to heal.
These sores are most common about the hands, arms, neck, and feet, and
are most apt to occur in those who have had no opportunities of washing,
and who have lived for a long time on tinned foods.
#Tuberculosis of the Skin.#--Interest attaches chiefly to the primary
forms of tuberculosis of the skin in which the bacilli penetrate from
without--inoculation tubercle and lupus.
#Inoculation Tubercle.#--The appearances vary with the conditions under
which the inoculation takes place. As observed on the fingers of adults,
the affection takes the form of an indolent painless swelling, the
epidermis being red and glazed, or warty, and irregularly fissured.
Sometimes the epidermis gives way, forming an ulcer with flabby
granulations. The infection rarely spreads to the lymphatics, but we
have seen inoculation tubercle of the index-finger followed by a large
cold abscess on the median side of the upper arm and by a huge mass of
breaking down glands in the axilla.
In children who run about barefooted in towns, tubercle may be
inoculated into wounds in the sole or about the toes, and although the
local appearances may not be characteristic, the nature of the infection
is revealed by its tendency to spread up the limb along the lymph
vessels, giving rise to abscesses and fungating ulcers in relation to
the femoral glands.
#Tuberculous Lupus.#--This is an extremely chronic affection of the
skin. It rarely extends to the lymph glands, and of all tuberculous
lesions is the least dangerous to life. The commonest form of
lupus--_lupus vulgaris_--usually commences in childhood or youth, and is
most often met with on the nose or cheek. The ea
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