ROSE-RASH. 595 



above plan fails, we may try to prevent the impending paralysis by 

 powerful stimulants, such as carbonate of ammonia, camphor, musk, 

 etc. The development of angina maligna is not arrested by abstrac- 

 tion of blood, or the local application of cold ; but pieces of ice taken 

 into the mouth, and allowed to melt there, have a favorable palliative 

 effect in this as in other severe forms of scarlatinous pharyngitis. As 

 soon as the sloughs have been detached, and foul ulcers are left in the 

 throat, we should proceed to energetic local treatment. We may 

 touch the ulcers daily with a solution of nitrate of silver ( 3 j to | ij 

 water), applied by means of a probang, and for the coryza, which al- 

 most always coexists, we may inject a weak solution of nitrate of sil- 

 ver (gr. v x to ij water) into the nostrils. I have not only seen 

 unmistakable benefit from this treatment in some cases, but I have 

 found that older children submit to the annoying operation without 

 much opposition, because they find that it relieves them. Croup com- 

 plicating angina maligna indicates the administration of an emetic, and 

 the application of a solution of nitrate of silver to the glottis. We 

 cannot do much against inflammatory infiltration of the lymphatic 

 glands and connective tissue of the neck. According to my experience, 

 abstraction of blood, cold, irritant, and resorbent remedies, cataplasms, 

 etc., have no effect on these hard, indolent tumors, which are covered 

 by normal skin. When they show a tendency to suppurate, and the 

 skin over them grows red, we may apply cataplasms. As soon as 

 there is fluctuation, the pus should be evacuated, to prevent extensive 

 mortification of the tissues, which the pressure of the pus threatens to 

 induce. We sufficiently explained the treatment of croupous nephritis 

 when treating of renal affections, and may also refer to what has been 

 already said for the treatment of scarlatinous dropsy, accompanied with 

 albuminuria. According to my experience, a mild diaphoretic treat- 

 ment suffices for simple cases of dropsy without albuminuria. 



CHAPTER III. 



ROSE-BASH ROSEOLA FEBRILIS. 



Cannstatt aptly defines rose-rash as an eruption witn red spots, 

 concerning which, from its general symptoms and the affections of the 

 mucous membranes, we are in doubt whether it should be classed with 

 scarlatina, measles, urticaria, or erythema, as it resembles one or other 

 of these diseases in some points, while differing in others. Epidemic 

 roseola arising from infection, which alone we shall discuss here, from 

 unknown causes consists in modifications of scarlet fever or measles. 

 By rubeola scarlatinosa, we mean a scarlet fever where the exanthema 



