Skin Diseases of Children

SKIN DISEASES

OF

CHILDREN

BY

GEORGE HENRY FOX, A.M, M.D.

Clinical Professor of Diseases of the Skin, College of Physicians and Surgeons, New York; Physician to the New York Skin and Cancer Hospital, etc.

WITH TWELVE PHOTOGRAVURE AND CHROMOGRAPHIC PLATES, AND SIXTY ILLUSTRATIONS IN THE TEXT

NEW YORK

WILLIAM WOOD & COMPANY

1897

PREFACE.

A series of illustrated articles on certain skin diseases which are apt to occur in infancy and childhood appeared in the American Journal of Obstetrics and Diseases of Women and Children a year ago, and are now published in book form. While some additions have been made to most of them, the work is far from being a complete description of all the cutaneous affections which occur in childhood. It is merely intended to serve as a concise and practical sketch of the symptomatology and treatment of those eruptions which are most likely to affect the juvenile patients of every family physician.

To Dr. Horace S. Stokes the thanks of the author are due for valuable assistance, especially in the compilation of the appended formulary.

18 East 31st street, New York,
June, 1897.

CONTENTS.

Alopecia Areata, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		1
Ringworm and Favus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		11
Contagious Impetigo, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		21
Psoriasis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		27
Ichthyosis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		35
Eczema, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		41
Papilloma Lineare, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		51
Nævi, Pigmented and Hairy, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		55
Vascular Nævus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		61
Lupus and other Tuberculides, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		67
Lichen Ruber and Lichen Planus, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		75
Syphilis Hæreditaria, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		83
Erythema Nodosum, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		84
Purpura, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		85
Molluscum, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		87
Keratosis Follicularis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		89
Keloid, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		90
Scabies, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		92
Formulary, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		95
Index, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .		161

LIST OF ILLUSTRATIONS.

PLATES.

	FACING PAGE.
Alopecia areata,	1
Trichophytosis capitis,	11
Impetigo contagiosa,	21
Psoriasis,	27
Ichthyosis,	35
Eczema,	41
Papilloma lineare,	51
Naevus pilosus,	55
Vascular neevus,	61
Lupus vulgaris,	67
Lichen ruber.	75
Syphilis hsereditaria,	83

FIGURES

FIG.		PAGE.
1.	Bald ringworm,	2
2.	Serpiginous form of alopecia areata,	3
3.	Alopecia areata — growth of white hair on patches,	4
4.	Alopecia areata — complete loss of hair,	5
5.	Trichophytosis corporis,	12
6.	Favus corporis,	13
7.	Trichophytosis capitis,	14
8.	Trichophytosis disseminata,	15
9.	Favus capitis,	16
10.	Contagious impetigo.	22
11.	Confluent lesions of impetigo.	23
12.	Impetigo — umbilicated lesion on forehead,	24
13.	Psoriasis— punctate lesions covered with white scales	28
14.	Psoriasis—guttate lesions with scales washed off,	29
15.	Nuiumular and circinate psoriasis,	30
16.	Psoriasis—patches healing in centre, enlarging and coalescing,	31
17.	Iclithyosis,	36
18.	Ichthyosis with broken epidermis,	37
19.	Ichthyosis with fine scales,	38
20.	Polygonal plates of ichthyosis,	39
21.	Eczema squamosum,	42
22.	Eczema squamosum,	43
23.	Eczema rubrum,	44
24.	Eczema impetiginosum,	45
25.	Eczema pustulosum,	46
26.	Linear papilloma,	52
27.	Linear papilloma,	53
28.	Nævus,	56
29.	Nævus,	57
30.	Nævus,	58
31.	Nævus of nose,	62
32.	Birthmark of unusual extent,	63
33.	Nævus of scalp,	64
34.	Nævus tuberosus,	65
35.	Nævus of vulva,	66
36.	Lupus vulgaris—a group of tubercles,	67
37.	Lupus vulgaris— tubercles forming a ring,	68
38.	Serpiginous lupus with central cicatrix,	69
39.	A favorite site of lupus,	70
40.	Lupus verrucosus (tuberculosis verrucosa cutis),	71
41.	Ulcerating lupus with atrophy of bone,	72
42.	Lupus erythematosus,	73
43.	Papular form of lichen ruber,	75
44.	Lichen ruber — papules on a favorite site,	76
45.	Plantar liclien ruber resptnbling eczema,	76
46.	Lichen ruber resembling ichthyosis,	77
47.	Lichen ruber resembling psoriasis,	77
48.	Rugous form of lichen ruber,	78
49.	Lichen ruber — chronic form of disease.	79
50.	Moniliform lichen ruber,	80
51.	Lichen planus,	81
52.	Lichen planus,	81
53.	Lichen planus,	82
54.	Erythema nodosum,	85
55.	Purpura,	86
56.	Molluseum,	88
57.	Keratosis follicularis,	90
58.	Keloid,	91
59.	Scabies,	93
60.	Pustules in .scabies,	94