Diseases of the skin : a manual for practitioners and students / by W. Allan Jamieson.

  • Jamieson, W. Allan (William Allan), 1839-1916.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Diseases of the skin : a manual for practitioners and students / by W. Allan Jamieson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

    101/606 (page 79)
    When these measures fail, as they often do, and the feet are the parts affected, the plan originally laid clown by Hebra should be followed out. This consists in first thoroughly cleansing the feet by careful washing, and then enveloping each in strips of lint spread pretty thickly with the ung. vaselini plumbicum, to which from one-half to one per cent, of salicylic acid has been added. Pledgets of the lint covered with the same ointment should also be introduced between the toes, and to secure all in place a few turns of a cheesecloth bandage are necessary. Clean stockings and new specially easy shoes are to be worn, and in this way locomotion is possible. The dressings are to be renewed every twelve hours, and the action of the salicylic acid watched, for while it causes the exfoliation en masse of the epidermis more rapidly, it may yet excite some irritation, and its addition to the ointment may have to be dis- pensed with. When the dressings are changed the foot must not be washed, merely rubbed with a dry soft cloth, and dusted, if necessary, with French chalk or Taylor's cimolite before reapplying the lint. In the course of a few days a thick brownish layer of thickened cuticle will be seen in process of peeling off from the parts previously affected, and when this has become quite separated the feet may, for the first time, be washed, though it is necessary ,to dust with the absorbent powder for some time. Hebra says that though one course of this treatment is not invariably successful, the complaint never, in his experience, has resisted a second. From some cause this treatment does not seem to be equally successful in cases where the palms are affected. Here the use of a dusting powder recommended by Unna.1 with the addition of salicylic or boracic acid, would seem most valuable. The powder is called Terra silicca, and is prepared and sold by Eaye uud Sonne, 22 Sonninstrasse, Hamburg. It is 1 Monatshcftc filr praktischc Dermatologie, 18S6.