File:An American text-book of genito-urinary diseases, syphilis and diseases of the skin (1898) (14782774985).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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s in producing acne it is impossible tosay, and it may be called a reflex neurosis. That disorders of the sexualapparatus—furthermore, masturbation and excesses in venery—will causeacne, can be seen very frequently. In females, uterine disorders may cause it,and outbreaks often occur at the menstrual periods. Disturbances of the gastro-intestinal tract, such as dyspepsia or constipa-tion, will produce the disease. Certain articles of diet will often favor itsoutbreak; among these may be mentioned all sorts of cheese, pickles, spices,and aromatics. Alcoholics, especially the stronger ones, are undoubted causesif taken continually and in large quantities, whereas beers or light wineshave no influence. Among other causes, mental and physical exhaustion,chlorosis, anemia, and general debility may be mentioned. Local irritationmight also produce it. Pathology.—The commencing lesion in most cases of acne is thecomedo, which is perhaps due to an atony of the musculi arrectores pilorum,
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Fig. 271.—Pustular acne—rupture of pus-sac into the derm ; mag. 100 diam,: e, epithelial lining ofsebaceous sac; p, p, pus-corpuscles and epithelia, the former sprung from the latter ; r, place of ruptureof the abscess; ?, /, intensely inflamed zones of derma; s, s, slightly inflamed portions of derma; b, b,blood-vessels engorged with blood-corpuscles. as explained in the section on Comedo. Any other agent which occludesthe follicular orifice and acts as a foreign substance may also cause an inflam-mation of the surrounding tissue, and papules will be produced; if bacteria,especially the staphylococcus pyogenes aureus, enter in places where there isalready a chemical irritation, pustules will be produced. Whatever the primary cause of the inflammation, its seat is found to be inthe sebaceous glands and hair-follicles and the tissue surrounding them. ACNE DISSEMINATA. 1115 Frequently the process commences as a perifolliculitis, being an inflamma-tion around the hair-follicles, and

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