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Rupia

scabs, fluid and ing

RUPIA, a skin disease, characterized by an eruption of small flattened and distinct WILT surrounded by inflamed areohe, containing a serous, purulent, sanions or dark bloody fluid, and followed by thick, dark-colored scabs over unhealthy ulcers. Three varieties of this disease are described, Rupia simplex, Rupia promisees, and Rupia escharotica. Rupia simplex com monly appears on the legs, sometimes on the loins or thighs, and seldom on other parts. The builae are not preceded by any inflammatory -sym_ptoms, vary from one-half inch to one inch in diameter, and contain at first a transparent serous fluid, which soon becomes turbid and purulent, and dries into scabs. The scabs are easily removed, displaying an ulcerated surface underneath, and several series of these scabs may jollow before' healing sets in. In Rupia prommens the bullw are larger, the scabs thicker and the ulceration deeper. The scab adheres firmly, and generally requires emollient applications to facilitate its removal. Retie escharotica occurs chiefly in cachectic children and infants. It is commonly confined to the lower extremities, and begins by one or two red and livid spots, over which the cuticle is soon raised by the effusion underneath it of a serous fluid. The Wiz thus formed increase;

the serum they contain becomes turbid, and of a blackish hue. A bloody and offensive zanies marks the sferface of the sore the edges of which are livid, bat not very painful. Rtipia is chronic, not dangerous, not contagious, but often very obstinate. It generally attacks persons debilitated by age, intemperance, bad living or previous diseases, especially smallpox, scarlet fever and syphilis. The general treatment con sists mainly in the administration of tonic de coctions, more especially those of cinchona, gentian, etc., with alkalies, a generous and nutritious diet and warm salt water and alkaline baths. The local treatment consists chiefly of puncturing the bullet early, and allow ing the morbid secretion to escape; of poultic ing in order to remove the scabs, and of apply ing lotions containing nitrate of silver or nitric acid, or any other slightly stimulating applica tion.