Practical Treatise on Smallpox: Illustrated by Colored Photographs From Life (Classic Reprint) - Softcover

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Excerpt from Practical Treatise on Smallpox: Illustrated by Colored Photographs From Life

Ariola, or smallpox, is an acute, contagious disease, characterized by an erup V tion upon both the skin and mucous membrane, with constitutional symptoms of greater or less severity. The eruption presents successively a macular, papular, vesicular, and pustular stage, the pustules finally drying into crusts, which fall and leave the skin temporarily discolored. Where ulceration has occurred it is perma uently scarred or pitted. The lesions of the mucous membrane appear upon those parts more or less exposed to the air, - the mouth and eyes, for example, - but in exceptional cases they may be found throughout the entire intestinal tract, and in the uterus and bladder. These lesions do not run a course similar to those observed upon the skin, but appear as red macules, which rapidly change into ulcerations, covered with a whitish pellicle. The ulcers are imbedded in the substance of the mucous membrane and are not as superficial as in cancrum oris. The constitutional symptoms are most prominent during the periods of invasion and pustulation.

There are various clinical forms of smallpox, which may be conveniently described as (1) discrete, (2) confluent, and (3) hemorrhagic, or malignant; and then, according to intensity, as (a) very mild, (6) mild, and (0) severe. The few purpuric spots seen in the severe discrete and the confluent forms are not of great significance, as they are generally due to a peculiar diathesis, and as a rule the patient recovers. The malignant form is almost invariably fatal.

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