Finally, to conclude with the external causes, beside
the parasitic dyschromias whose etiology seems to
October 23. 1920.]
NEWS ITEMS.
641
he complex, it may seem logical to include those
which are secoiidarj- to ibuprofen motrin the dermatoses, such as the
bullae of pemphigus, herpes zoster, boils, papulone-
crotic tuberculides, etc.. as well as syphilitic lesions.
The macula of roseola, secondary ibuprofen mg papules, and ulcer-
ating lesions are the starting points of pigmentary
change in which either a melanodermia or a more or
less atrophic leucodermia are observed.
Still other causes of dyschromia have been in-
\oked. both general and internal, whose mechanism
has been diversely ibuprofen and motrin interpreted. Among them hyper-
emia should first be mentioned : it unquestionably in-
tervenes in pigmentations having a local or external
cause, for example, the melanodermia advil ibuprofen occurring on
varicose limbs. Lesions of the suprarenal capsules
have for some time been recognized as a cause of
the melanodermia of Addison's disease, but space
forbids a discussion as to what extent renal insuffi-
ciency or lesions of the pericapsular nervous plexus
act as factors. If suprarenal insufficiency is incrim-
inated, it should be pointed out that normally the
suprarenals destroy pigment or a ibuprofen use pigmentogemous
substance and that when diseased they cannot do so.
Or if a sympathetic theory is maintained, it will be
said that when irritated a hyperactivity of the cells
secreting pigment occurs. The sympathetic and
cerebrospinal sj'Stems undoubtedly play a part in
many dyschromias, as in leprosy, vitiligo, and the so-
called primary piginentation dose for ibuprofen dosage ibuprofen of syphilis. The latter
does not belong exclusively to lues because it has been
observed in tuberculosis and chlorosis. acetaminophen or ibuprofen On the other
hand, in many ways it is similar to the chloasma of
pregnancy and Addison's disease, and it may well be
asked if the syphilitic dyschromia is not also conse-
cjuent upon some disturbance of the pericapsular
nerves dose of ibuprofen resulting from the Spirochasta pallida.
Other dyschromias have been regarded as due to
hematic changes such as malarial melanodermia and
perhaps bronze diabetes. According to Diday the
blood of syphilitics undergoes a peculiar ibuprofen acetaminophen change in
its coloring matter which allows it to become de-
posited in the tissues. If for any reason congestion
arises, with a consequent increase of the blood in the
skin, it will progressively infiltrate the integuments
and finally the coloring matter will come acetaminophen with ibuprofen near enough
to the surface to produce a perceptible change in hue.
Petresco likens the mechanism of the pigmentary
syphilide to that observed in paludism ; there is an
exaggerated deposit of hemoglobin coming from the
destroyed red blood corpuscles, hence melanin and
its deposit motrin is ibuprofen in the tissues. Other observers have
thought that the presence of bile pigments in the
blood might be the origin of a good number of dys-
chromias, and perhaps sjphilis, which does not spare
the liver, produces pigments in this way. Finally
certain disturbances of pigmentation have a advil and ibuprofen toxic
origin, such as arsenical melanodermia and argyria.
Although the etiology of dyschromia is poorly under-
stood, this process can be divided into primary and
secondary tj'pes. The first or spontaneous type is
not preceded by an eruptive element. Secondary
pigmentations are those succeeding an eruptive ele-
ment, which was seated at the spot where the dys-
chromia, melanodermia, or achromia, according 600 ibuprofen to
the case, ultimately arises. In the first group can
be placed the melanodermia of Addison's disease,
lentigo and chloasma of pregnancy. In the second
group of secondary dyschromias are the melanoder-
mias or achromias following some local dermatosis,
such as pemphigus, lichen planus and varicose ulcer.
MUSIC WITH WORK.
Transplanting rice in the Philippines costs about
forty centavos a day, with two meals, cigarettes
and betel nut, but when music is provided the out- dosage for ibuprofen
put of work is increased thirty per cent. It is often
a blind man who plays. He sits on the low ibuprofen and acetaminophen rice
dyke and sings the old folk songs to his guitar, and
frequently the workers join in the dosage of ibuprofen chorus. Some
of the large stores in the States also tried the effect dose ibuprofen
of music, with good results. \\"e have not heard
much lately concerning music in hospitals and use of ibuprofen oper-
ating rooms ; perhaps the patients were of the same
opinion as the Socialist press, which says that all
this welfare work is enlightened selfinterest. It
proceeds without taking the trouble to find out
whether such patronizing efforts are desired or
appreciated.
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