DIFFERENT SKIN DISEASE
Sycosis
DiagnosisFrom Ringworm of the beard. This seldom attacks the upper lip and the common form of it is characterised by the presence of purplish inflammatory nodules which are absent in staphylococcal sycosis. Even if there are no nodules the infected hairs will be brittle and will show ringworm fungus under the microscope. In staphylococcal sycosis the strength and texture of the hairs are unaffected. From Lupus aulgaris . By the long history of this disease, the presence of apple-jelly nodules and absence of pustules surrounding the hairs. From the flramboesiform syphilide. This often occurs as an infiltrated papillomatous patch in the middle of the chin an area favoured by sycosis. The syphilide however may be present also at the angles of the mouth the sides of the nose and on the scalp. other signs of syphilis including a positive wassermann will probably be found. if looked for.
Treament-
Treament of Sycosrs. Mild and recent, infections usually yield rapidly to local antibiotics though relapses are common. very rarely in intractable cases systemic antibiotics may clear a case when all else has failed. Iodochlorhydroxyquinoline(Vioform)cream(1-3%)is also effective with or without the admixture of a corticosteroid as are other proprietary members of the quinoline group such as Quinolor ointment and steroxin cream. The patient should stop shaving but should cut the beard as short as possible with scissors. Manual epilation of infected follicles is sometimes helpful. In stubborn cases superficial X-rays can be helpful. In spite of these measures, cases are still met which are extremely stubborn. This is usually due to the fact that the patient is a nasal staphylococcal carrier and the nostrils must be treated with an antibiotic to which the organism is sensitive. The normal skin of such cases also becomes contaminated with pathogenic organisms and this may be controlled by washing the face twice daily with 3% hexachlorophane emulsion (Phisohex).