Abstract In a former communication1 evidence was presented to show that ringworm of the scalp occasionally resolved spontaneously when the causal organism was a microsporon pathogenic to animals. It was later reported2 that a uniformly favorable response was noted to the local application of antifungicidal medicaments when fungi also pathogenic to animals (chiefly Microsporon lanosum) were the cause of the infection; depilating measures—roentgen irradiation or administration of the thallium salts—were held to be unnecessary in the treatment of tinea of the scalp of this type. Conversely, certain fungi not pathogenic to the lower animals (chiefly Microsporon Audouini) caused infections which were resistant to various local applications sufficient to cure ringworm of the scalp caused by microsporons pathogenic to animals. In the list of resistant infections should be included the less commonly noted ones caused by endothrix trichophytons and Achorion Schoenleinii. Further experience enables us to confirm these earlier References 1. Lewis, G. M., and Miller, H. C.: Ringworm of the Scalp: A Report on Three Cases Due to Microsporon Lanosum with a Tendency to Spontaneous Recovery , Arch. Dermat. & Syph. 29:890 ( (June) ) 1934. 2. Lewis, G. M.: Ringworm of the Scalp: Curability Without Depilating Measures of Infections Caused by "Animal" Microsporons , Am. J. M. Sc. 189:364 ( (March) ) 1935. 3. Sabouraud, R., and Noire, H.: Traitement des teignes tondantes par les rayons X à l'Ecole Lailler (Hôpital St.-Louis) , Presse méd. 2:825, 1904. 4. Since regrowth of hairs in patches of partial alopecia due to tinea infections (particularly infections with M. Audouini) of the scalp is sometimes sufficiently vigorous to mask the disease, clinical evidence of cure should always be supported with observations of the scalp under filtered ultraviolet light (figs. 3 and 4). When infected hairs are examined in this manner, they are revealed as fluorescent bright green stubs. 5. MacKee, G. M.: X-Rays and Radium in the Treatment of Diseases of the Skin , ed. 2, Philadelphia, Lea & Febiger, 1927, p. 454. 6. This and other experimental work was carried out in the service of Dr. Fred Wise. We are indebted to Dr. Isadore Rosen for cases referred to us from his service; Dr. Phyllis Kerr, of White Plains, N. Y., and Dr. Vellozzi, of Yonkers, N. Y., also gave assistance. 7. Material for this study was supplied by Parke, Davis Co. 8. Lewis, R. M.: A Study of the Effects of Theelin in Gonorrheal Vaginitis in Children , Am. J. Obst. & Gynec. 26:593 ( (Oct.) ) 1933. 9. Lawrence, C. H.: The Anterior Pituitary-Like Hormone , J. A. M. A. 106:983 ( (March 21) ) 1936. 10. Weidman, F. D.: Laboratory Aspects of Epidermophytosis , Arch. Dermat. & Syph. 15:448 ( (April) ) 1927. 11. Chambers, S. O., and Weidman, F. D.: A Fungistatic Strain of Bacillus Subtilis Isolated from Normal Toes , Arch. Dermat. & Syph. 18:568 ( (Oct.) ) 1928. 12. The special lamp used in this investigation was supplied by the Westing-house X-Ray Company, Inc.
Archives of Dermatology and Syphilology – American Medical Association
Published: Mar 1, 1937
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