B. G. Jefferis and J. L. Nichols, Searchlights on Health — Black-Heads and Flesh Worms (1919)
“ The black appearance is really due the accumulation of dirt which gets under the edges of the skin of the enlarged sweat glands and cannot be removed in the ordinary way by washing, because the abnormal, hardened secretion of the gland itself becomes stained. These insects are so lowly organized that it is almost impossible to satisfactory deal with them and they sometimes cause the continual festering of the skin which they inhabit. ”
