Dermatitis Seborrhoides

  • Paul Gross
  • John T. McCarthy
Part of the Handbuch der Haut- und Geschlechtskrankheiten book series (HAUT, volume 2 / 2)

Zusammenfassung

It is 33 years since Winkler and Unna wrote the chapter on “Seborrhoeic Eczema” in the Jadassohn Handbuch. This treatise still remains a classic because of its authorship, the rich material presented and because of its investigative approach. Although much remains to be done to determine the etiology of this disease, progress has been made thanks to investigative work on the dermatosis, aptly called morbus Unna by some, and as a result of positive knowledge gained in other fields of dermatology and the basic sciences. A simple indicator of this progress is the change of the title of this supplemental chapter from Seborrhoeic Eczema to Dermatitis seborrhoides. The difference becomes less significant if we quote Winkler and Unna (page 446) saying that “Unna chose the name Seborrhoeic Eczema because it also expresses the tendency of this disease to change to other forms of eczema”. If we omit the word parasitic we can also use Unna’s definition of seborrhoeic eczema as “a chronic inflammation of the skin characterized by abnormal fat content of the superficial epidermal layers. Its chief symptoms are a habitual dryness, the sharp round or polycyclic outline of the lesions, the fairly constant picture of the disease and the fact that it can be easily influenced by certain therapeutic methods”. The character of the inflammatory process and the special feature of fat formation in the epidermal cells assure the symptom complex a distinct nosologic position. If Winkler and Unna included some clinical manifestations which do not conform with their own definition and which we cannot accept today as forms of dermatitis seborrhoides, we may attribute this to the influence of Darier’s concept of eczematide and Brocq’s parakeratose psoriasiforme.

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Copyright information

© Springer-Verlag, Berlin · Heidelberg 1965

Authors and Affiliations

  • Paul Gross
    • 1
  • John T. McCarthy
    • 1
  1. 1.New YorkUSA

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