Download Britannica Discovery Library Volume 11 - Time by Pamela Dell (Author), Kathryn Harper and Mark Domke PDF

By Pamela Dell (Author), Kathryn Harper and Mark Domke (Editors)

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7 DERMATOMYOSITIS Dermatomyositis is a clinical syndrome of a characteristic rash coupled with myositis. The cutaneous or muscular signs may dominate the clinical picture, although in some patients the cutaneous involvement may be minimal. There are no cutaneous signs in the majority of cases of polymyositis. There are differences between the disease in children and adults; the disease in children has a more pronounced vasculitis and is not related to malignancy. Presentation Childhood cases usually present before the age of 10; adult cases are more common much later in life.

Follicular hyperkeratosis on the upper and outer arms and fronts of the thighs is very common in young adults and does not signify any pathological state. DEFICIENCY STATES 27 Investigations The vitamin C saturation test may be carried out to establish the diagnosis. Aetiology In Western Europe and the USA, scurvy is usually seen in food faddists and old people who do not eat fruit, salads and uncooked vegetables. It may be seen in the underdeveloped countries due to poverty and poor diet. Treatment Prognosis Oral vitamin C.

When these are hatched the mites migrate from the burrow to the surface of the skin. The generalized eruption is thought to be an immune response to the contents of the burrow, but which particular object is not known. The mite cannot survive away from the skin for more than a few hours and hence the transmission is by close bodily contact. 52 DERMATOSES DUE TO INSECTS Treatment Course and prognosis It is important that the topical application used in treatment is applied to the whole of the body surface below the head.

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