Rhus Tox - Skin symptoms - T.F. Allen

SKIN

Skin

Objective.

Blue color of scars when exposed to cold air,

The juice made the skin touched by it hard like tanned leather, after a few days this indurated part desquamated,

The skin touched by the juice became hard and like leather,

A black spot on the part touched by the juice (after three days),

Hands seemed covered with a coating of Argentum Nitricum ^{nitrate of silver}; frequent washings made the spots almost all disappear in three or four days,

Skin yellow and sunken between the knuckles,

Eruptions, Dry.

Red flush over the whole body, at 2 P.M. (after eighteen hours),

Erysipelatous redness of the left side of the face, commencing during stool and lasting about an hour (thirty-sixth day),

Erysipelatous appearance in the face, below the left eye, at 1 P.M. (tenth day); this returned four and five days afterwards, without repetition of the dose,

Erysipelatous redness, burning, and smarting of the left side of the face (thirty-fifth day),

Scarlet redness over the abdomen as far as four fingers' breadth above the umbilicus (eleventh day),

Bright redness of scrotum and penis; scrotum extremely flaccid and relaxed, falling half way to the knee; at 2 P.M. (after eighteen hours),

A dark-scarlet redness, without swelling, extending downward from the scrotum to the middle of the thigh, becoming striped (eleventh day),

Two red sore spots, caused by ruptured blisters on the mons veneris (eleventh day),

Some small round red spots on the upper part of the upper arm,

Reappearance at the bend of each elbow of a red furfuraceous eruption, which had once existed there for a short time, but had long since disappeared (after eight days),

A red, very hot spot, with burning pain, on the right hip,

(Small round red spots in the ball of the foot),

Scurfy eruption over the body,

Fine scurf on the face (eleventh day),

The back of the hand is covered with cracks and is hot; the skin is hard, rough, and stiff,

Lips dry and cracked, covered with a red crust,

Desquamation of the skin of the face,

The epidermis peeled from the cheeks, leaving the parts hot and rough (after thirty-six hours),

Skin peeled from the left hand entirely; itching intolerable; skin peeling from all the parts affected (forty-fifth day),

Pimple, large, deepseated, and irritable to the touch, on the upper lip, opposite the left cuspidatus tooth, at 1 P.M. (fourth day),

A pimple on the lower lip, beneath the red, in the white skin,

Pimple, large, deepseated, and irritable to the touch, on the chest, two inches above the left nipple; it is so tough that scratching does not readily break it, but produces redness, burning, and smarting in it and the surrounding skin (after seven days),

A kind of tough pimple at the bend of the right elbow, similar to the tuberculoid and imperfectly suppurating elevations which have appeared on different parts of the skin, from four to ten days after the dose (after ten days),

Pimples, like the itch, with burning itching and smarting after scratching, on the inner surface of the wrist and on the lower portion of the cheek,

Hard pimples on the hands, with burning-biting itching,

Severe stinging on dorsum of the hand, near the smallest metacarpal bone; afterwards large deepseated and irritable pimple among the most thickly-set hairs of the dorsum of the left hand, over the metacarpal bone; after 6 P.M. (eighteenth day),

An inflamed pimple above the middle joint of the ring finger, with itching-burning pain, that sometimes changes into a slow stitch, not relieved by rubbing and scratching,

Pimples, large, deepseated, and somewhat irritable to the touch, on the median side of the nates; commenced at nearly the same time as the pain in the patella,

Eruption similar to an urticaria,

The rash more red and hard (third day); the face, which had so far been free from eruption, is now covered with large red blotches, not elevated above the skin (fourth day); itching and burning decreasing (sixth day); desquamation fully sets in (tenth day),

Covered with a rash resembling measles; his face, neck, and throat swollen,

Cutaneous inflammation and feeling of excoriation at the inner side of the left nates (after a month),

Crusty eruption near the left wing of the nose and below the nose (after forty-eight hours),

Eruption near the left commissure of the mouth, with the aching at the left eyebrow (eleventh day),

Very slight eruption about the mouth and chin,

By means of a magnifying glass, a rash was seen on the scrotum and also along the thigh, with moisture on the perinaeum (eleventh day),

The itching and swelling extended to the groin, and inside of the thigh, pubes, and abdomen, as far as the navel (fifth day),

Burning-itching eruption on both hands,

Severe itching of the lower half of the legs, in the evening, followed in the afternoon of the next day by a severely itching eruption on the same parts (sixth day),

Eruptions, Moist.

*Small blisters, exactly like Willan's vesicles, except that they were associated with greater swelling, at first between the fingers, and then over the whole hand (second day),

Vesicles, most of which contain a milky but some of which also contain a clear liquid, become confluent; this condition lasts three days, after which the skin desquamates,

A burning eruption of small blisters, filled with water, with redness of the skin of the whole body, except on the scalp, palms of the hands, and soles of the feet,

Red spots of the size of a pea, with small vesicles in the centre,

A wound becomes inflamed and covered with small vesicles (sixth day),

Erysipelas, with numerous vesicles, that burst, and secreted for eight days a slimy liquid,

Covered from head to foot with a fine red vesicular rash, itching and burning terribly, especially in the joints; worse at night, causing constant scratching, with little or no relief, and which felt very hard upon pressure with the finger; skin burning hot (second day),

Pemphigous eruption followed the eschar, such as might be caused by Argentum Nitricum ^{nitrate of silver}, that healed only after two weeks,

*There were some small pimples, coalescing into blisters the size of a split pea, filled with yellow watery fluid, with intense itching; worse at night after 12 P.M.; the only relief he can get is to rub it with something rough until the blisters are open; the case was of three weeks' standing,

Numerous vesicles appear on different parts of the body, varying from two or three lines to one-fourth inch in diameter (second day); vesicles dry and disappear by desquamation (fourth day),

Scores were attacked by an erysipelatoid eruption affecting the hands and arms, the feet and legs, the face, and sometimes the whole person. It varied in extent and in severity from a small patch with trivial itching to an extended surface with enormous swelling and excruciating suffering. Pruritus, tingling, smarting, stinging, burning were the sensations described. On a red and swollen base of inflamed skin, vesicles and blebs, from the size of a pins head to a pea, were crowded together, and when these broke and dried, eczematous crusts remained. Sufficient irritation carried the inflammation on to ulceration,

His hands, especially the lateral surfaces of the fingers, were thickly covered with vesicles, and his face and genitals were badly swollen. The following day the eruption appeared upon the arms and about the thighs and abdomen, and continued to spread for several days, until at last it presented the following appearances The face and ears were of a lurid-red color, greatly swollen, and dripping with fluid exudation. The neck, chest, and abdominal wall were also reddened, and occupied by large patches of flattened papules and vesicles, and by moist excoriations. The genitals were enormously distended by oedema, and the scrotum was running with serum. The arms and legs were also oedematous, and largely occupied by fields of the peculiarly characteristic vesicles of the affection. The patient was of a highly nervous temperament, and suffered tortures from the severe itching which accompanied the eruption. The skin was so universally irritable, that no clothes could be worn for forty-eight hours, when the affection was at its height, and a sheet or blanket was the only covering during this time. Sleep, without powerful anodynes, was impossible for several nights in succession,

Her whole head was greatly swollen, and the features so distorted that no one could recognize her. On closer inspection the skin of the face and neck was felt to be deeply oedematous and was largely covered with vesicles off all sizes, many of which were seated on an erythematous base, others being still in the papular stages of development. There were also numerous large excoriations, from which fluid was freely exuding, stiffening in places on drying, and forming soft crusts. The ears were much thickened, and were dripping with the escaping serious exudation. The hands were also affected, being thickly covered upon their backs with groups of small vesicles, while upon the palm numerous vesicular exudation were dimly seen beneath the thickened epidermal coverings, trying to push themselves above the level of the general surface. The subjective symptoms were great itching and burning of the parts affected, with the feeling of local discomfort consequent upon so great swelling of the features. New efflorescences continued to appear for several days, but the course of all the cutaneous manifestations was abbreviated, and the oedema immediately reduced by the local treatment which was employed,

Intense itching and burning of the skin of the forehead, and about the eyes; face was much swollen, could open his eyes only with difficulty; vesicles made their appearance, filled with watery fluid,

In a day or two she began to itch and burn; in three days her eyes were swollen shut, and she had all the symptoms of Rhus poisoning,

Her face, ears, and neck had an erysipelatous redness, and were seem ingly swollen to their utmost capacity. She could not open her eyes, her nose was closed, and no African ever exhibited such a formidable pair of lips. The hands became greatly swollen, blistered badly, and were a long time in healing,

The face became red, enormously swollen and oedematous, then also the hands and skin of the whole body became covered with a scarlet-like exanthema, with intolerable itching biting (second day); on the fourth day the backs of the hands and legs became covered with blisters, that burst and slowly desquamated,

Violent vesicular erysipelas of the face and hands, attended with a high state of fever (after a few hours),

Vesicular eruption on the cheek, with intense itching and burning (after thirty-six hours),

Her face and hands were affected in a manner similar to that first described, although the inflammatory process was less severe. The parts were less swollen, but there was an abundant eruption of the vesicles and flow of serous exudation from the excoriated parts,

Swelling and inflammation of the right cheek, attended with intense burning and itching. The inflamed surface was covered with large blisters, containing a yellowish serous fluid. In the succeeding spring she was seized with a precisely similar attack, without being able to trace it to any renewed exposure to the poisonous plant,

In the second case, the inflammation and tumefaction were confined to the right side of the face, never extending beyond. Patient complained of itching and burning,

An eruption of an erysipelatous nature upon the face. The inflammation had extended over the forehead and into the scalp, both eyes were closed, both ears, cheeks, and lips were very much tumefied and pitted on pressure and the patient's features were so much disfigured that he was not at all recognizable,

Erysipelas of the face, with perspiration of the face, without thirst (after one hour),

Great swelling of the face; the head became double its natural size; a sort of phlegmonous erysipelas, that kept her in bed for four weeks,

Great swelling of the head, face, and lids, so that he could not open the eyes for over twenty-four hours,

Erysipelatous swelling of the face and neck,

Erysipelatous swelling of the face and of the eyelids, and finally an eruption of phlyctenae over the whole body,

Before sunset the cuticle of the hand was a trifle elevated in papules, red and warm, and next morning itched decidedly, but not annoyingly, and showed a few vesicles. A cluster of vesicles an inch in diameter appeared on the cheek, and was more annoying than that on the hand. Scratching greatly aggravated the inflammation, and caused a free watery discharge,

Itching and swelling of the left ear, and the lobule of the right ear increased to bursting of the skin (sixth day),

Smarting and prickling around the mouth, with vesicular watery eruption below the vermilion border of the lower lip (after thirty-six hours),

(Burning blisters about the mouth and nostrils),

Clusters of vesicles, filled at first with a watery substance, near both corners of the mouth, on the margin of the lower lip, with a salty biting sensation and soreness to touch (after ten hours),

A vesicle oozing moisture on the top of the glans penis,

A large vesicle on the glans penis beneath the prepuce, that opened on the following day (sixth day),

Very moist eruption on the scrotum, with swelling of the prepuce and glans,

Has sores on his chest from a blister, with great itching,

Vesicle on the right wrist, just below the lower head of the ulna (sixteenth day),

On the right wrist blisters on a pale red base of four fingers' breadth, that constantly increased, most of them of the size of the head of a pin, increasing to that of a pea or even of a bean, and so numerous that not only every point of the skin was covered, but they almost seemed to form a thick mass like clusters of grapes with pits (the spaces between the blisters could no longer be recognized), some were brownish, glistening from the dried exudations that were pressed out of the blisters as limpid water (fifth day),

Itching and swelling of left hand increased to bursting of the skin (sixth day),

Copious eruption and the formation of numerous vesicles on the back of my hand, on the fingers, wrists, and bare arms,

Itching in the palm of the hand ceased, became very sore to touch, and the vesicular discharge became yellowish (eleventh day),

Vesicles filled with opaque matter on the right hand (tenth day),

In the palm of the left hand there was a considerable elevation, studded with itching vesicles, which burst and discharged serum in considerable quantity (sixth day),

Swelling of left hand greatly increased; watery vesicles nearly covering the left hand (fifth day),

Large red phlegmonous patch over left hip (after three to four doses),

An eruption, with swelling and induration, without pain, on the tibia and loins,

A long strip of reddened skin, several inches in width, covered with vesicles and a few papules, run upward and downward from the knee. The chin was occupied by a large group of papules, a few of which had already advanced to the vesicular stage. The skin beneath one eye was also puffed and reddened,

Red burning spots and stripes on the inner sides of both knees, with small blisters, soon desiccating,

Eruptions, Pustular.

Pustules, with inflammation and itching, extending over the whole body in a short time,

(A pustule in the fold of the cheek, that is not painful by itself, with fine stitches as from needles, when touched),

Tetterlike eruption around the mouth and nose, at times with jerking and itching, burning pain in it (after twenty-four hours),

Pustules, with pus at the tips on the side of the chin, with pain only when touched, as from the pressure of a sharp edge, and a persistent burning,

Papular eruption on the right side of the chest, extending over half the back, paining as if sore raw, with the stitches piercing from within outward,

Tough unsuppurating pimple on the chest an inch above the left nipple (thirteenth day),

Suppurating pimple on the chest, in the left mammary region, at 7 A.M. (seventeenth day),

Erysipelas, swelling, pustules, with burning and itching on the arms and hands,

The right hand has itching and abortive pustules on the fingers, and at the root of the thumb-nail (tenth day),

Pustules between the fingers, with violent itching; these pustules continued to recur, and covered those parts of the hands which had been touched by the stems,

The little boils on the lower part of the abdomen, in the groins, and on the inner parts of the thighs were very sore and suppurated (tenth day),

Small boils on the pubes, gradually increasing in size and number (sixth day); pubic region very sore, from the great number of boils (ninth day),

The abdomen, thighs, and groins are very sore and red; boils the size of a Juglans Regia ^walnut discharging pus (twelfth day); smarting, throbbing, burning pain in the boils on the pubes and abdomen (thirteenth day); boils increased in size one-third (sixteenth day),

Subjective.

Sensation in the skin of the left forearm as if rubbed with a woollen cloth or scraped with a knife, together with a sensation of coldness,

(Biting pain, as from salt in an ulcer, only at night; it woke her frequently; during the day it was absent, and only occurred while walking in the open air),

Jerklike stitches, as in a boil about to break, in the (affect) ball of the great toe; in the evening, throbbing in it,

Fine stitches externally on the leg (after eleven hours),

Fine sticking in the left fourth toe,

Crawling in an ulcer,

Formication,

(Pain in an ulcer as if beaten),

Violent burning in the skin, with twitching in it and general perspiration at night; whenever he puts his hands out of bed he is seized with a convulsive cough,

A burning itching here and there,

Burning-biting pain in an ulcer, with weeping and moaning,

(Very transient burning in affected parts),

Burning-itching pain on the left elbow, provoking scratching, and disappearing after scratching (after half an hour),

Burning in the feet,

Sticking in the region of a scab, in the morning, on waking,

Stinging in the outer anterior part of the leg (fifty-first day),

Stinging prickings in the skin at the lower part of the cervical and upper portion of the dorsal spine, and at two corresponding points of the neck, at the clavicular portions of the sterno-mastoid muscles, felt when walking in the house, immediately after drinking cool water, at 5.45 P.M. (twenty-second day),

Itching over the whole body except on the hairy parts, scalp, and genitals,

Intolerable itching of the skin,

Itching, burning, and stinging increased (fourth day),

Itching worse in the night and evening, also in the morning, from one to two hours, not so much in the daytime (sixth day),

The itching was more severe in the morning, and consequently there was at this time a freer discharge of serum (ninth day),

Severe itching and stinging in all the parts affected with the poison (seventeenth day); all the symptoms seemed to be renewed at this period; the itching, burning, stinging, and smarting at intervals; the parts were very sore to touch, dry and cracked (twenty-first, twenty-second, and twenty-third days),

Itching of the skin in the evening (twenty-ninth day); in the morning (thirtieth day),

Great itching in spots,

Itching on the head,

Itching and burning in the rim and lobule of the left ear (after thirty-six hours),

Intolerable itching of the swollen face, lids, and ears,

Itching, burning, biting, and stinging, shifting from the face to the genitals, and from the genitals to the left hand (fourth day),

Intense itching of the chin, at 1.30 P.M. (thirty-third day),

Intense itching in right groin (tenth day),

Intolerable itching on the pubic region (twenty-fourth day),

Itching in front of the chest, in the back, and in the skin in various parts of the body, in the morning, in bed (eleventh day),

Itching of the left nipple, in the evening, after lying down in bed,

Itching on the breasts,

Itching on the neck and forearms,

Itching-stitching like fleabites in the nape of the neck,

Itching on the back and at the anterior part of the chest, with the semiacute pain in upper arm (sixteenth day),

Violent itching of the hands (fourth day),

Itching of the hands,

At midnight there was severe itching and prickling in the right hand, as if it were asleep, lasting from one and a half to two hours (tenth day),

Itching in the palm of the right hand (tenth day),

Intense itching and stinging in the palm of the left hand, at intervals, worse in the evening; throbbing pain in the left hand, extending to the elbow-joint (sixth day),

At midnight intense itching, burning, and stinging suddenly attacking the palm of the left hand, and extending to the elbow, lasting about two hours (sixth day),

Itching around the knees and ankles,

Violent itching on the hamstring, while pulling off the stocking, in the evening; scratching causes pain,

Severe itching of the lower half of the legs, in the morning, and at 10 P.M. (thirteenth day),

Sticking itching on the left calf,

Itching in the calf of the left leg, when walking, at 4 P.M. (first day),

Severe itching of the ankles and lower half of the legs, followed by procidentia recti (fifth day),

Itching on the left outer malleolus and over the back of the foot,

A sticking-stitching in the ball of the left great toe,

A man was poisoned in California, in September, went back to the Eastern States, had an annual eruption for six successive years, and during the seventh attack was carried off by a pneumonia, which would not have been fatal probably to him when in his ordinary health,

Within eighteen hours his face had become red, inflamed, and hideously swollen, his eyes being both quite closed, and the itching and burning were most distressing. The local erysipelas and oedema lasted one week, the papules developing into vesicles, which became confluent, and followed the same course as in the lady's case. The general eruption extended over the whole body, and did not disappear for five weeks. A salt-and-water lotion relieved this the first attack, but failed in two subsequent attacks,

Her face was so swollen, blistered, and mottled, that her best friends could not have recognized her; so badly were the integuments of the eyes swollen, that she could not see. She had a high fever and much burning-smarting pain over the face and head,

The day after he had last been among these bushes, heat and itching of the scrotum and inner adjacent surface of the thighs commenced, worse on the hairy parts. Next day the characteristic papules, on a base of diffused redness and oedema, appeared on the forehead and neck, rapidly spreading in all directions, and accompanied with heat, itching, and burning, but with very little general pyrexia. The itching was relieved by cold, but aggravated by heat, warmth, and rubbing or scratching,