ACNE 147 



Treatment. — Stiirjulating liniments applied with 

 friction to the skin, such as one part tincture can- 

 tharides, five parts spiritus vini rectificatus or lini- 

 mentum saponis and spiritus camphorse equal parts, 

 or liquor ammonii fortior one-half dram and spiritus 

 rectificatus, eight ounces. 



Acne 



Acne is a suppurative inflammation of the folli- 

 cles of the skin arising from the accumulation and 

 decomposition of the sebum secreted by the seba- 

 ceous glands, and the invasion of pyogenic or- 

 ganisma. 



The disease is generally localized upon the skin 

 of the nose between the anterior nares and the 

 forehead. 



Symptoms. — At first, signs of superficial inflam- 

 mation are evident, then as the deeper follicles be- 

 come infected the skin appears thickened and upon 

 pressure discharges at various points a bloody, pur- 

 ulent matter. Nodules the size of a pea are also 

 present, which show purulent centers. By conflu- 

 ence of the acne pustules and infection of the hair 

 follicles large abscesses are formed, portions of the 

 skin sometimes becoming even necrotic. In rare 

 cases acne is found on the forehead, trunk, and ex- 

 tremities, in which, case the prognosis is very grave. 



Treatment. — Incision and free evacuation of the 

 acne pustules and abscesses, and disinfection with 

 tincture of iodin or Lugol's solution, are advised. 

 In persistent cases an autogenic bacterin should be 

 prepared and injected hypodermically every five 

 days. 



