and the use of an ointment made of two drachms
cold cream and ten grains of boric acid are of advantage not only in
reducing the resulting hyperaemia, but also in preventing suppuration and
consequent scarring. To lessen the chances of the latter, cleansing the
parts with alcohol just before and after the operation is also of
service.

#[OE]dema Neonatorum.#

#Describe [oe]dema neonatorum.#

The essential symptoms are [oe]dema and a variable degree of hardness
and induration. It develops in the first few days of life, and usually
upon the extremities, especially the lower. It may remain more or less
limited to these parts, but, as a rule, slowly extends. The skin is of a
yellowish, dusky, or livid color, and sometimes glossy or shining. There
are general symptoms of drowsiness, subnormal temperature, weakened
circulation, and impaired respiration, which gradually increase, and in
eighty to ninety per cent. of the cases lead to death. It is believed to
be similar to anasarca in the adult and to be due to like causes.

Treatment consists in maintaining the body-heat, sufficient and proper
nourishment and stimulation.

#Sclerema Neonatorum.#
(_Synonyms:_ Scleroderma Neonatorum; Sclerema of the Newborn.)

#What is sclerema neonatorum?#

Sclerema neonatorum is a disease of infancy, showing itself usually at
or shortly after birth, and is characterized by a diffuse stiffness and
rigidity of the integument, accompanied by coldness, [oe]dema,
discoloration, lividity and general circulatory disturbance.

#Describe the symptoms, course, nature and treatment of sclerema
neonatorum.#

As a rule the disease first manifests itself upon the lower extremities,
and then gradually, but usually rapidly, invades the trunk, arms and
face. The surface is cold. The skin, which is noted to be reddish,
purplish or mottled, is [oe]dematous, stiff and tense; in consequence
the infant is unable to move, respires feebly and usually perishes in a
few days or weeks. In extremely exceptional instances the disease, after
involving a small part, may retrogress and recovery take place.

The disease is rare, and in most cases is found associated with
pneumonia and with affections of the circulatory apparatus.

Treatment should be directed toward maintaining warmth and proper
alimentation.

#Scleroderma.#
(_Synonyms:_ Sclerema; Scler