BUCKWHEAT ERYTHEMA: FAGOPYRISM. WHITE SKIN DISEASE.

Form of white face disease, with irritating ingesta, buckwheat, etc.,

occurs from dried products, no insects; growing potatoes; sunshine;

idiosyncrasy. Symptoms: as in white face disease: in winter itching

and rubbing: in summer may go on to nervous symptoms. Treatment: stop

feeding buckwheat. Give laxative and diuretics. Local treatment as in

white face disease.

This may be held to be but a form of the last named affection, in which,

however, certain irritating ingesta (buckwheat, maize, wheat), are

essential factors in addition to the white skin and strong sunshine. It

is seen only on white skins or the white portions of parti-colored

skins, while the blacks, browns and other colors usually escape. Black

breeds of hogs (Essex) escape under the same feeding and exposure, as do

solid colored horses of the darker shades. Of the different food

factors, buckwheat (Polygonum fagopyrum, persicare, etc.), is the most

to be feared, and the poison seems to be inherent in all the products

(green vegetable, dry seeds, bran and straw) and is not destroyed by

cooking. Buckwheat cakes sometime produce erythema in man. This excludes

the idea of the transfer of a living cryptogam to the skin, though not

the theory of pathogenic products of the fungi. The invoking of bee

stings and the bites of insects, which are strongly attracted to the

buckwheat, is untenable because the affection occurs from the dried

seeds, bran and straw, and has been known to break out weeks after the

buckwheat was withdrawn from the ration.

In addition to buckwheat, maize and even wheat when liberally fed have

been known to cause erythema. Hemminger records a similar outbreak in

horses working among growing potatoes.

In addition to the food, clear sunshine is essential and an individual

idiosyncrasy. All animals, though equally exposed are not equally

attacked.

_Symptoms._ These do not differ materially from those of the white face

and foot disease already described. There are intense redness and

tumefaction of the white skin or the white portions, showing prominently

in the delicate parts (ears, eyelids, lips), with violent itching,

rubbing and sometimes vesicles with yellowish contents, followed by

sores and scabs. In the winter season there may be itching and rubbing

only. In summer it may become erysipelatoid and extend to the mucosæ, of

the respiratory and digestive organs, with hyperthermia, nervous

excitement, vertigo, turning in a circle and even spasms and

convulsions.

_Treatment._ This is essentially the same as for the white face and foot

disease with this additional that the buckwheat or other offensive

ingredient must be withdrawn from the ration, and what remains in the

bowels must be expelled by saline or other laxative. Cooling diuretics

must follow to eliminate irritant matters that may have been absorbed.

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