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By Bethel Solomons (Auth.)

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Obesity, 40 I N F L A M M A T O R Y D I S E A S E S I n t e r t r i g o , continued. C l i n i c a l F e a t u r e s . — R e d n e s s a n d h y p e r i d r o s i s first a p p e a r . Then m a c e r a t i o n a n d s o m e t i m e s e x u d a t i o n . S i t e s : g r o i n s , n a t a l cleft, axillae, s u b m a m m a r y a r e a s , u m b i l i c u s , c r e a s e s of n e c k a n d e y e l i d s . S k i n is o f t e n m a l o d o r o u s . D i a g n o s i s . — B y location, hyperidrosis, a n d often obesity.

Differential diagnosis m u s t be m a d e from d e r m a t o p h y t i d s . 2. E r y t h e m a C h r o n i c u m M i g r a n s ( L i p s c h ü t z ) . — V e r y similar t o t h e e r y t h e m a a b o v e , e x c e p t t h a t lesions a r e u s u a l l y s o l i t a r y . T h e y m a y be preceded b y insect bites, a n d often r e s p o n d t o penicillin. 3 . E r y t h e m a G y r a t u m R e p e n s ( G a m m e l ) . — G y r a t e lesions a n d i r r e g u l a r w a v y b a n d s , t h e e r y t h e m a of w h i c h s p r e a d v i s i b l y d a i l y , l e a v i n g a r e a s of l i n e a r d e s q u a m a t i o n .

Of a l c o h o l o r v a r n i s h , o r 1 g. of o i n t m e n t is sufficient t o c o v e r a p p r o x i m a t e l y t h e a r e a of t h e p a l m of t h e h a n d . —Naevus flammeus, psoriasis, parapsoriasis en plaques, alopecia areata, circumscribed neurodermatitis, mycosis fungoides. — A P P A R A T U S . — D e v i c e s i m i l a r t o d e n t i s t ' s drill, b u t drill r e p l a c e d b y wire-brush mandrel. S p e e d of b r u s h g o v e r n e d b y footoperated variable rheostat. S p e e d u p t o 18,000 r e v o l u t i o n s p e r m i n .

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