Acne : its etiology, pathology, and treatment ... / by Duncan Bulkley.

  • Bulkley, Lucius Duncan, 1845-1928.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Acne : its etiology, pathology, and treatment ... / by Duncan Bulkley. 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.

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    the physician, and from an incomplete and frequently ir- regular carrying out of the treatment on the part of the patient. The measures recommended have often been too largely empirical, and the results obtained corre- spondingly unsuccessful. In the present work the study of sebaceous diseases will be made mainly from patients belonging to the higher classes, as seen in private practice, whose intelligence can aid both in the matter of etiology and treatment. Very little can be learned of acne therapeutically from the poorer and more ignorant subjects met with in public in- stitutions ; in them the hygienic surroundings and dietetic conditions are in most cases very bad, and treatment is too often carelessly and incompletely carried out. It will be observed that the terms acne and sebaceous diseases have been used more or less synonymously, and it is thus that they will be considered in the present study, for reasons which will appear later. No little confusion has existed in dermatological literature in regard to the varieties of acne which should be recognized, and the names which should be applied to them, and also as to what conditions of disease should be included under this title. More than twenty species or forms are enumerated by certain writers, and several hundred distinct names may be found in literature to designate the six affections or conditions here classed as varieties of acne. Older writers, following the earlier definitions of dis- ease, have mainly described as acne only the more com- monly recognized condition seen on the faces of younger persons, inflammatory in character; the functional dis- orders of the sebaceous glands seemed to have escaped their attention, or to have been described under differ- ent names, which are now applied to diseases of quite another character.