. The many varieties are best classified as
follows:
(1) Eczema of internal origin, including cases due to morbid agencies
produced within the body, cases due to drugs, and possibly reflex
cases.
(2) Eczema of external origin, including cases caused by occupation,
by climate, or by seborrhea.
Eczema of internal origin almost invariably appears on both sides of
the body at once, as on both cheeks, or both arms, or both thighs. Its
border shades into the surrounding skin, it is dotted with papules
(or heads) filled with fluid, and its surface is clean and not greasy.
As it spreads, the symmetry of distribution is lost. Among the morbid
agencies producing this variety of eczema are the products of
indigestion. Among the drugs producing it is cod-liver oil.
Occupation eczema occurs first on exposed parts, as the hands, arms,
face, and neck, in those who handle irritant dyes, sugar, formalin,
etc.
Climatic eczema includes the "winter itch," common in this latitude,
appearing on wrists and ankles in the form of clean, scaly patches,
often ringed.
The seborrheic variety spreads from the scalp to the folds of the
skin. Its borders are sharply defined, and its crusts and scales
yellowish and greasy. It spreads from a center in all directions at
once.
=Treatment.=--The treatment of eczema puzzles a physician, and only
specialists in skin diseases are able easily to diagnose the subacute
or chronic forms. It may appear different, and need different
treatment almost from day to day, and consequently only general
suggestions can be made for home management of a case of this disease.
The outlook is always good; and even in the case of weak and
debilitated patients, there is excellent chance of cure.
The diet must be regulated at once. Meat should be eaten in small
quantities once a day only, and none but very digestible meats should
be eaten, as fowl, beef, and lamb. Sugar and sweet food need be cut
down only when there is indigestion with a production of gas. Fresh
air and exercise are imperative. Five grains of calomel, at night,
followed by one heaped tablespoonful of Rochelle salts dissolved in a
full tumbler of water the next morning before breakfast, should be
repeated twice a week till marked improvement is seen. Meanwhile,
external treatment must be pushed.
Generally speaking, ointments must not be used on weeping or exuding
surfaces; all scales and crusts must be removed from the surface; and
acute p
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