Treatise on diseases of the skin : founded on new researches in pathological anatomy and physiology / by P. Rayer ... ; translated from the French by William B. Dickinson.

  • Rayer, Pierre François Olive, 1793-1867.
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: Treatise on diseases of the skin : founded on new researches in pathological anatomy and physiology / by P. Rayer ... ; translated from the French by William B. Dickinson. Source: Wellcome Collection.

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

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    and in the folds of the joints, the scarlet is deeper in colour and more permanent than on other regions. This eruption, not so bright in the morning as during the night, always be- comes of a deeper tint in the evening, particularly on the third and fourth days. The general appearance then is, to use Huxham's words, as if the body had been rubbed over with raspberry juice, or red paint. On the fifth day the exanthema begins to grow pale, the interstices between the patches get larger, and the scarlet colour becomes less vivid. About this time slight desquamation takes place on the neck, temples, and chest. By the sixth, the characters of the erup- tion are beginning to be indistinct. On the eighth and ninth days, large epidermic lamella? become detached from the sur- face of the hands, feet, and different regions of the body. During the eruption the pulse is commonly full and fre- quent ; the tongue is covered with a creamy coat, through which we can sometimes distinguish the red colour of the papillae. The edges of this organ are of a more or less vivid red colour. The pharynx presents an erythematous tint, and the amygdala? are slightly tumid. The face is bloated; the eyes are sometimes red, brilliant, and humid. Sleep is dis- turbed, or troubled by dreams. These general symptoms con- tinue more or less intensely for from three to seven days. The inflammation of the pharynx subsides at the same time as that of the skin. The tongue sheds its epidermis, and its surface is of a bright-red colour, which we should avoid the error of attributing to inflammation of the stomach. § 57. 2° The fever and exanthema may be more consider- able, the inflammation of the throat also more intense, ter- minating by a creamy or pultaceous exudation, (scarlatina anginosa, W.)* A rough sensation of stiffness in the muscles of the neck and inferior maxilla often comes on at the com- mencement of this second form of the disease. On the second day the pharynx is inflamed, the voice harsh, deglutition dif- ficult and painful; the mucous membrane of the mouth and pharynx is of a vivid red, like the external exanthema; the swelling of the amygdalae is frequently veiy considerable. A few days after the invasion, and very often the following day, the anterior pillars of the velum palati, the amygdala? and pharynx, pour out a thick, viscid fluid, or throw off flakes of • G. Pistollet, Dissert, sur la Scarlatina Anginense que a regni Epidcmiqucmcnt a Lwgres, en 1801.. 8vo. Paris.—Lanth'iez, Dissert sur la Scarlatine qui a rignc Epidimiqucmc.nl a liaralle, en 1810. 4to. Paris.