April 13, 1889.]
BULKLEY: ARSENIC IN Differin And Acne Scars BULLOUS DISEASES OF THE SKIN.
ing on the scalp. On the chest Where To Buy Differin Gel and back nearly a quarter of
the Epiduo Vs Differin surface was covered with new and old lesions, many being
also on the extremities. Here and there could be seen bulliB,
rounded on top, up to half an inch in diameter, with apparently
clear contents, giving exit to serum and blood wlien ])unctured.
Some of these were recorded as seated on healthy skin, with
almost no surrounding indammation. Much of the eruption was
composed of the crusted and ulcerated surfaces occupied by
previous Differin Xp Gel Differin Gel Buy bullas, and, to render the diagnosis more obscure, they
were largely arranged in circular and serpentine forms. She
was extremely exhausted. Pulse, 120; temperature, 101-4° F.
in the month. The bowels were acting twice daily.
All other medication being discontinued, she was placed upon
Fowler's solution, five drops every two hours, to be increased
by a portion of a drop if necessary. She was also given a pill
containing a third of a grain of opium, with two Buy Differin Gel 0.3 grains of
quinine at bed-time, and locally carbolized oil (1 to 50) to be
brushed over the lesions, some of which were very offensive.
The results from the arsenic were even more than could Generic Differin Gel
have been expected. Almost immediately the patient began to
improve, and three weeks later the eruption had almost entirely
vanished. The crusts fell off very shortly after beginning the
arsenic, no new bull* formed, and healing progressed very rap-
idly. Several months later she was given mild mixed treat- Differin Adapalene Cream 0.1
ment, witli a moderate quantity of iodide of potassium, but never
again was she troubled with such an eruption.
While arsenic proves of such signal advantage in the
conditions already described in adults, its effects in some of
the bullous eruptions in Differin Canada children are, if anything, even more
marked in proper cases, and if given in efficient doses, as
may be judged from the following cases :
Case VII. — Eosalie B., aged ten years, was sent to me by
Dr. J. Ackerman Coles, of Scotch Plains, N. J., May 25, 1887.
The child then presented a typical herpes iris, and her condition
was then as follows: The eruption was confined to the hands
and forearms, feet, and lower legs, witli a few spots on the
thighs and also about tlie Buy Differin Cream mouth and on the lips, likewise within
the buccal cavity. The feet and lower legs were pretty thickly
covered with new and old lesions, and on Order Differin Online the backs of the
hands and wrists Differin Gel Generic some were most Coupon For Differin Gel typically characteristic, with
a single bleb of some size and a circle of vesicles around, seated
on a reddened base; in one or two instances there was a Differin Oily Skin second
circle outside of this. In some places the blebs were of very
considerable size, and were recorded as about an inch in diame-
ter ; in other places they had ruptured, and the surface was
either raw or covered with dried membrane or secretions. She
suffered very considerably, more especially Differin Gel Online with the lesions on
the lips and mouth, so that she could scarcely talk or take any
The history of the case was that in January, four months
previous, she had a first attack, which lasted about a week. A
second attack cam-e some few weeks later, and was even milder.
The present attack had began three weeks previous to Differin Vs Epiduo her visit,
and had increased steadily until the time she was seen. At the
first visit she was given Fowler's solution, with an equal quantity
of water, of which Buy Differin Gel Online she was to take five drops every two hours,
increasing the dose gradually to ten drops if necessary and if
there were no unpleasant symptoms.
The next day. May 26th, there was already some improve-
ment noted ; many of the lesions seemed less inflamed, and the
child seemed more comfortable. A little castor-oil was then
ordered, as there had been some constipation, and the drops
were ordered to be increased. Five days later very marked im-
provement was noted ; the bullae and vesicles were flattened,
and most of the lesions were gone from the mouth, she having
used also a lotion of borax, carbolic acid, and honey. A week
later the eruption had disappeared, leaving only stains. She
was then taking seven drops of the mixture, or three drojjs and
a half of Fowler's solution every two hours.
On two subsequent occasions, when the arsenic was neg-
lected, she had a recurrence of the eruption, which was promptly
checked by a return to the frequent doses of the arsenic. The
remedy was then taken at longer intervals until finally it was
discontinued, and she remained free from eruption.
Case VIII. — Edward D., aged four years and a half, was
brought to me in his mother's arms, October 29, 1887, so se-
verely affected with herpes iris that he could not walk. The
eruption began on the foot, four weeks previously, apparently
from injury, the toe having been stepped on. The eru])tion had
spread rapidly, with the development of new lesions, until, when
first seen, much of the body was the seat of the disease, it being
especially severe Differin For Acne Scars upon the Differin Lotion Coupon extremities. The hands and arms
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