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By Bethel Solomons (Auth.)

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Duration : 3-4 weeks. R e c u r r e n c e s c o m m o n . (Fig. ) S Y M P T O M A T I C T Y P E . — L e s i o n s similar t o those seen in above t y p e o c c u r , b u t c o l o u r is b r i g h t e r a n d d i s t r i b u t i o n m o r e p r o f u s e . I r i s lesions a r e r a r e . This t y p e m a y be due t o m a n y causes. 1. D R U G S . — A n t i b i o t i c s , q u i n i n e , a r s e n i c , i o d i d e s , s a l i c y l a t e s . 2. S Y S T E M I C D I S E A S E S . — G l a n d u l a r , r h e u m a t i c , o r t y p h o i d fever.

Mentality m a y be normal. , e l e p h a n t i a s i s , p e r i o d i c generalized keratolysis, microphthalmos with dental anomalies, pili i n c a r n a t i . T r e a t m e n t . — A v o i d w a r m c l i m a t e s , a n d d e a l w i t h t e e t h e a r l y in life b y prosthesis. CONGENITAL AURICULAR FISTULA T h i s c o n d i t i o n is c h a r a c t e r i z e d b y a s m a l l d e p r e s s i o n o r fistula j u s t in f r o n t of t h e e x t e r n a l e a r . S o m e t i m e s n o d u l e s o r c y s t s d e v e l o p i n t h e opening.

I t is c h a r a c t e r i z e d b y a m a c u l o p a p u l a r e r y t h e m a chiefly affecting face, a r m s , legs. L e s i o n s a r e c r e s c e n t i c a n d c i r c u l a r . R e s o l u t i o n occurs within a week. 6. E R Y T H E M A M A R G I N A T U M . — A s y m p t o m a t i c , e r y t h e m a t o u s , c r e s c e n t i c a n d c i r c u l a r , e v a n e s c e n t lesion a s s o c i a t e d w i t h r h e u m a t i c fever. 7. E R Y T H E M A O F P A L M S . — B l o t c h y e r y t h e m a a s s o c i a t e d w i t h p o r t a l cirrhosis, chronic gastro-intestinal a n d p u l m o n a r y disease, r h e u m a t o i d arthritis, avitaminoses, or pregnancy.

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