Excerpt from Diseases of the Skin and the Eruptive Fevers
The study of dermatology in its broadest sense embraces the consideration of all morbid processes that are characterized by cutaneous manifestations. This conception of the subject, which follows that of the old Vienna school, lends to dermatology greater dignity and gives to it a more important mission. The specialist in diseases of the skin should be skilled in the diagnosis not only of the ordinary dermatoses, but of the rashes of the various eruptive fevers. The two classes of affections frequently resemble each other to such a degree as to require for their differentiation a broad experience in both. The striking manner in which syphilis may simulate small-pox is well known. The eruption of syphilis is, properly considered, no more entitled to be included among skin diseases than is that of smallpox; the former constitutes the most conspicuous symptom of a chronic infectious process, while the exanthem of variola represents the most striking feature of an acute infectious process.
In the present volume the exanthemata are treated in a separate chapter, and, owing to the importance attaching to their diagnosis, are given greater space than is usually accorded to them in books on skin diseases. The general symptoms are described briefly, but all that relates to the skin manifestations is exhaustively treated. In addition to a consideration of the diseases ordinarily included among the exanthemata, there are described the usual and the accidental eruptions occurring in the course of such diseases as typhoid fever, typhus fever, epidemic cerebrospinal meningitis, influenza, malaria, rheumatic fever, dengue, miliary fever, angina, and tonsillitis. Space does not permit of the description of the general symptoms of these diseases, but merely of the eruptive phenomena.
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