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December 1995

Note on the Antiparasitic Treatment of Eczema

Arch Dermatol. 1995;131(12):1376. doi:10.1001/archderm.1995.01690240030005

He did not go into a detailed presentation of such clinical and pathological facts which made it probable that many eczemas owed their existence or persistence to the presence of parasites, but pointed out that many of the well-known and trusted remedies in the local management of eczema—like salicylic acid, carbolic acid, thymol, tar, and others—were distinct parasiticides. Without trying to discredit the value of internal, hygienic, and dietetic measures, he then gave his experience as to the use of strong antiparasitic drugs, among which he found particularly valuable a combination of equal parts of chloral, iodine, and carbolic acid, as suggested by Cutler for other purposes. He fully detailed the indications and mode of application for the mixture, which he did not consider as a panacea, but rather as a type for a whole number of other probably equally useful drugs or combination of drugs. He mentioned, for instance, rather encouraging results in the treatment of eczema with creolin.

Dr. Bowen said many cases of eczema, especially the sharply defined and serpiginous forms, might be of parasitic origin. It was at present simply a hypothesis.

Dr. Fox was opposed to Dr. Zeisler's views.

Dr. Jackson thought we were not yet prepared to admit the parasitic origin of eczema.

Dr. Hartzell was very loath to believe in the parasitic origin of eczema.

Dr. Fordyce believed that eczema depended on a great many conditions, both constitutional and local. An eczema could result from heat or chemical agents, and persist after the irritant ceased. In some cases he thought it might be purely a parasitic affection, but in others he believed it a constitutional affection with the parasitic element superadded.

Dr. Elliot had believed most emphatically for a number of years that a large proportion of cases of eczema were due to parasites.

J Cutan Genito-Urin Dis.

December 1895;13:507-511.

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