Protein Sensitization in Skin Diseases: Urticaria and Its Allies

Abstract

Therapy.-Elimination from diet of tomatoes. Result.-Well in four days. Analysis.-Single specific reaction. Cured by removal. Case Í0.-Mrs. C. M., aged 31. Ill for two years ; constipated. Diagnosis.-Urticaria. Tests.-Cod, pork, corn, coffee and tea ++ each; coco, coffee, lamb, lettuce and wheat + each.Therapy.-Elimination of suspected articles from diet, on Jan. 21, 1920. Well for a week. Recurrence, with symptoms of acute gastritis. Diet continued. Free from urticaria for another week. March 5 slight recurrence.Result.-Improvement but no cure on diet modified according to tests.Analysis.-See result; also indigestion. Sensitization to several proteins. Group reactions.Case 11.-Mrs. H. N., aged 50. Urticaria for four weeks. One injection suprarenal extract ; well for three years.Analysis.-This case illustrates the use of suprarenal extract ; the lesions vanished within five minutes after the injection.Case 12.-Miss E. P., aged 18. Ill for two and a half months ; constipated.Diagnosis.-Urticaria.Tests.-Lima beans 4-h ++,' wheat 4-+> beef, cheese, coffee, chicken, rice, rye + each.Therapy.-Elimination of suspected foods ; catharsis ; suprarenal gland extract.Result.-Remission for two days.Analysis.-See result; effect of therapy; multiple reactions; group sensitiza¬ tion.Case 13.-Mr. D. S., aged 70. Ill four months ; constipated. Diagnosis.-Urticaria. Tests.-Lamb and potato +4-h spinach +. Patient discontinued visits. Therapy.-None instituted. Analysis.-Multiple or group reactions. Collapse caused by suprarenal injection administered by previous physician. ' Case 14.-Miss S. W., aged 9; ill for five years, nausea, chronic constipation. Diagnosis.-Urticaria. Tests.-Egg +, salmon ++. Discontinued visits. Therapy.-None instituted. Analysis.-Multiple reactions.