File:An American text-book of genito-urinary diseases, syphilis and diseases of the skin (1898) (14596071329).jpg

Identifier: americantextbook00bang (find matches)
Title: An American text-book of genito-urinary diseases, syphilis and diseases of the skin
Year: 1898 (1890s)
Authors: Bangs, Lemuel Bolton, 1842-1914 Hardaway, W. A. (William Augustus), 1850-1923
Subjects: Urogenital System Urination Disorders Syphilis Skin Diseases
Publisher: Philadelphia, W. B. Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ve may be affected. After Hebra, seven classifications are made according to location—namely,zoster capillitii, zoster faciei, zoster nucha; s. collaris, zoster brachialis, zosterpectoralis, zoster abdominalis, zoster femoralis. The region most commonly affected is the dorso-pectoral; here the dis-ease involves the intercostal nerves and extends from the vertebras to thesternum. One or more nerves may be affected, so that the eruption appearsas a narrow band or a broad area involving all the intercostals. The pro-dromal neuralgia is generally severe, and before the appearance of the erup-tion clears up the diagnosis is often mistaken for pleurisy. Pectoral zoster, as all others, is, with rare exceptions, unilateral. Thispeculiarity has led to the popular belief that if the eruption should encirclethe body death is the result. This idea is frequently the cause of muchanxiety to nervous patients. Children are more apt to have intercostal zosterthan any of the other forms. Plate i^. M^
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ZOSTER. 831 Space will not permit a description of the other varieties. It is only nec-essary to remember that the clinical picture and symptoms are the same inall of them, the only difference being location. There is, however, a sub-variety of facial zoster (zoster ophthalmicus) that needs special mention; forthe agonizing and persistent neuralgia coupled with the frequently serioussequelae, such as panophthalmia, ulcerative keratitis, meningitis, and even death,makes this a dangerous manifestation of what is generally a mild disease. Etiology.—Zoster may occur at any age. The majority of personallyobserved cases were between fourteen and thirty, the average about twenty-two years. Infants are, generally speaking, exempt; still cases have beenreported in babies. Old age seems to offer a slight immunity from the dis-ease. Sex has but little influence on the attacks, although American derma-tologists claim a slight predominance for males. Some of the cases observedcan be directly tra

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