A change from one application to another will be found necessary in almost all cases.
In obstinate cases the x-ray treatment can be used, as it has proved itself valuable in some instances; as in other diseases, it should be employed cautiously.
#What would you advise in regard to shaving?#
When bearable (and after a few days' application of soothing remedies it almost always is), it is to be advised in all cases, as it materially aids in the treatment. After a cure is effected it should be continued for some months, until the healthy condition of the parts is thoroughly established.
#When is depilation advisable as a therapeutic measure?#
When the suppurative process is active, in order to save the follicles from destruction; incising or puncturing the pustules will often accomplish the same end.
Depilation is in all cases a valuable therapeutic measure, but it is painful; as a routine practice, shaving is less objectionable and, upon the whole, is probably as satisfactory. Those who make free use of the x-ray commonly push it to the point of producing depilation.
#Dermatitis Papillaris Capillitii.# (_Synonym:_ Acne Keloid.)
[Illustration: Fig. 29. Dermatitis Papillaris Capillitii.]
#Describe dermatitis papillaris capillitii.#
This is a peculiar, mildly inflammatory, sycosiform, keloidal, acne-like disease of the hairy border of the back of the neck, often extending upward to the occipital region; partaking, especially later in its course, somewhat of the nature of keloid. Several or more acne-like lesions, papular and pustular, closely grouped or bunched, appear, developing slowly, usually to the size of peas; are red, pale red, or whitish, often enveloping small tufts of hair, and attended with more or less hair loss. Its course is gradual and persistent. It is an exceedingly rare condition, the exact nature of which is still obscure.
Treatment, which is usually unsatisfactory, consists of stimulating applications--the same, in fact, as employed in sycosis, sulphur and ichthyol deserving special mention. Depilation is essential.
#Give a descriptive definition of impetigo contagiosa.#
Impetigo contagiosa is an acute, contagious, inflammatory disease, characterized by the formation of discrete, superficial, flat, rounded, or ovalish vesicles or blebs, soon becoming vesico-pustular, and drying to thin yellowish crusts.