File:The skin; its care and treatment (1914) (14577630198).jpg

Identifier: skinitscaretrea00maur (find matches)
Title: The skin; its care and treatment
Year: 1914 (1910s)
Authors: (Maurer, Ruth D. Johnson, Mrs.), 1870- (from old catalog)
Subjects: Skin
Publisher: Chicago, McIntosh battery & optical company
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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lthough physicians, especially in the smaller cities,usually refer such cases to the operator, she should alsobe able to recognize the different varieties of acne andtherefore know just what it is as well as how to treat thecondition. VARIETIES OF ACNE Acne vulgaris, also called acne simplex, is by far themost common type. The lesions are usually of a mixedcharacter and one may find blackheads, papules of varyingsize and pustules. Sometimes these lesions may have thebeginning in a red spot, painful upon pressure. As a rulethese lesions are very rapid in developing, appearing anddisappearing in a week or ten days, only to be immediatelysucceeded by a fresh number. Sometimes the papular typeproves very obstinate and the hard lumps persist forweeks and months, then gradually disappear, leaving purplediscolorations. This form of acne is also frequently seen upon theback and chest. It may persist for years if allowed to remain withouttreatment, making the skin coarse and leathery, and fre-
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Acne Vulgaris THE SKIN 201 quently leaving the pores so large that the skin looks pitted. The most marked effect is seen in the mental condi-tion of the patient. Frequently persons so afflicted becomeso morbid that they refuse to take part in any social gath-ering, never go into the streets unless heavily veiled andpersist in regarding themselves as but little less loathsomethan a leper. Owing to this depressed condition and utter despair itis often extremely difficult to persuade such patients toindulge in any effort themselves, hence the necessity for avery firm attitude on the part of the operator. If she is wise she w 111 never accept one case unlessco-operation is positively promised. Under treatment but little improvement may be seenfor the first few weeks, though usually a slight change isobserved at once. In any case, however, if the efforts arefaithfully continued improvement is certain and in time acure will result. Acne punctata, also called the minute papular form,consists

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