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Article
March 1961

Patients with Spinal Cord Injury: Clinical Cutaneous Studies

Author Affiliations

LOS ANGELES; LONG BEACH, CALIF.; LOS ANGELES

From the Medical Service, Section of Dermatology, Veterans Administration Hospital, Long Beach, Calif.

Clinical Assistant in Dermatology, Veterans Administration Hospital; Assistant Clinical Professor of Dermatology, University of Southern California (Dr. Reed); Resident in Dermatology, Veterans Administration Hospital, Long Beach, Calif. (Dr. Pidgeon); and Chief, Section of Dermatology, Veterans Administration Hospital; Emeritus Clinical Professor of Dermatology, University of Southern California, Los Angeles (Dr. Becker).

Arch Dermatol. 1961;83(3):379-385. doi:10.1001/archderm.1961.01580090029002
Abstract

Patients with spinal cord injuries, because of interruption of nervous impulses, have loss of sensation of heat, cold, pain, and light touch, as well as cessation of sweating, below the level of injury. Seborrhea and seborrheic dermatitis are precipitated and/or aggravated by febrile states, often caused by flare-ups of the ubiquitous urinary infection. Decreased sweating discourages dermatophytosis. "Nummular eczema-like" plaques are sometimes seen in areas of sensory paralysis. Loss of sensation predisposes to decubitus ulcers, with secondary amyloidosis. Observations and results of studies are presented dealing with these cutaneous disorders.

Seborrhea and Seborrheic Dermatitis  Although there is no histological evidence for secretory innervation of the sebaceous glands, investigators continue in their attempts to demonstrate a nervous control. These glands are probably controlled by endocrine channels which may, in turn, be regulated by the central nervous system. Lorincz and Lancaster1 have found sebaceous gland atrophy after hypophysectomy in white rats

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