The fatality varies between 10 and 20 per cent. Tonics and stimulants are prescribed.

#Equinia.# (_Synonyms:_ Farcy; Glanders.)

Essentials of Diseases of the Skin — Part 42

A rare contagious specific disease of a malignant type, derived from the horse, and characterized by grave constitutional symptoms, inflammation of the nasal and respiratory passages, and a deep-seated papulo-pustular, or tubercular, nodular (_farcy buds_), ulcerative eruption. A fatal issue is not uncommon. It is due to a micro-organism.

Essentials of Diseases of the Skin — Part 42

Treatment, both local and constitutional, is based upon general principles.

Essentials of Diseases of the Skin — Part 42

#Miliaria.# (_Synonyms:_ Prickly Heat; Heat Rash; Lichen Tropicus; Red Gum; Strophulus.)

An acute mildly inflammatory disorder of the sweat-glands, characterized by the appearance of minute, discrete but closely crowded papules, vesico-papules, and vesicles.

The eruption, consisting of pin-point to millet-seed-sized papules, vesico-papules, vesicles, or a mixture of these lesions, discrete but usually numerous and closely crowded, appears suddenly, occurring upon a limited portion of the surface, or, as commonly observed, involving a greater part or the whole integument. The trunk is a favorite locality. The papular lesions are pinkish or reddish, and the vesicles whitish or yellowish, surrounded by inflammatory areola, thus giving the whole eruption a bright red appearance--_miliaria rubra_. Later, the areolæ fade, the transparent contents of the vesicles become somewhat opaque and yellowish-white, and the eruption has a whitish or yellowish cast--_miliaria alba_. In long-continued cases, especially in children, boils and cutaneous abscesses sometimes develop; and it may also develop into a true eczema.

Itching, or a feeling of burning, slight or intense, is usually present.

The vesicles show no disposition to rupture, but dry up in a few days or a week, disappearing by absorption and with slight subsequent desquamation; the papular lesions gradually fade away, and the affection, if the exciting cause has ceased to act, terminates.

Excessive heat. Debilitated individuals, especially children, are more prone to an attack. Being too warmly clad is often causative.

The affection is considered to be due to sweat-obstruction, with mild inflammatory symptoms as a cause or consequence, congestion and exudation taking place about the ducts, giving rise to papules or vesicles, according to the intensity of the process.