462 DISEASES OE THE SKIN 



DIAGNOSIS. 



It closely resembles tuberculosis of the skin, and may be mistaken 

 for the vegetating forms of syphilis. 



The diagnosis rests upon finding the fungi in the minute abscesses. 



TREATMENT. 



Potassium iodides in large doses, i gramme, t.d.s., and increased 

 until the disease disappears. 



Rontgen rays, where available, can be applied with benefit. 

 Local applications of sublimate and iodine tincture are useful. 

 For visceral and general infection there is no successful treatment. 



BOILS. 



Tropical boils are very common, and are usually severe and 

 resistant. Auto-inoculation should be closely guarded against. 



Conditions of lowered resistance and diabetes predispose to them, 

 but the immediate agents are pyogenic organisms, chiefly the 

 siaphykjcoccus. 



TREATMENT. 



The condition frecjuently rec^uires that the patient shall be invalided 

 in order to raise his powers of resistance. 



Treat any constitutional disorder and avoid poulticing. 



Touch new boils with tincture of iodine, wash old ones with sub- 

 limate. One drop of pure carbolic acid in a small drilled hole will 

 often abort the abscess. 



Prepare and administer an autogenous vaccine. 



Avoid opening boils early. 



BOTRYOMYCOSIS HOMINIS. 



A condition of f ungating granulomas occurring as a sequel to 

 wounds which have been infected with cocci. They grow slowly until 

 about the size of a cherry and are ]3edunculated. They occur in 

 clusters. Some authorities affirm that the condition is caused by 

 Botr}-()m}ces ascoformans, others blame an amoeba-like organism. 



BROMIDROSIS. 



Perhaps each individual has his o^\■n peculiar offensive odour when 

 perspiring excessively, probablv due to the increased sebaceous matter 

 secreted. Lack of cleanliness always makes the condition worse, but 

 in some cases marked cleanliness A\ill not remove the odour completely. 

 Some of the great variety of scents may be used to counteract it. The 

 clothing should be changed frequently. 



Alcohol should be avoided. 



