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There is no markeddividing line between pruritus and kraurosis, and they must be reg As theprocess continues it merges into the condition of kraurosis. The surface gradually be-comes pale and parchment-like, with a tendency to cracks and fissures. It is characterized at first by a reddening and thickening of the vulvalcuticle associated with intense burning and itching. Pruritus is closely related to kraurosis, which it always precedes as an earlierstage. Common usage, however, treats pruritus as a disease, and weshall, therefore, use the term in that sense. PRURITUS Pruritus means itching and, strictly speaking, describes a symptom ratherthan a disease. The corium consists of dense connective tissuecontaining few nuclei. The line between this layer and the corium is less wavy than usual, dueto poor development of the papillae of the corium. On the surface is a thick stratum corneum, under which is the stratum granulosum,much thinner than normal. In this condition ovarian extract theoretically works benefit by itspower to cause hyperemia of the external genitals and thus improve the circula-tion. Several cures from ovarian extract have been reported, one of them by theauthor. The treatment of advanced cases is vulvectomy, if the process has not in-volved the vestibule and vaginal introitus too much. This was an extreme case and was inoperable on account ofthe extension of the disease into the orifices of the vagina and urethra.
The vaginais atrophied and stiff at the introitus. The clitoris and labia minora have disappeared. Countway Library of Medicineĭigitizing Sponsor: Open Knowledge Commons and Harvard Medical SchoolĬlick here to view book online to see this illustration in context in a browseable online version of this book.įig. Publisher: Philadelphia and London : SaundersĬontributing Library: Francis A. Subjects: Gynecology Genital Diseases, Female Women Gynecology Identifier: gynecologygrav2 (find matches)Īuthors: Graves, William Phillips, 1870-1933
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