. A practical treatise on diseases of the skin, for the use of students and practioners . s. At the same time there is a condition of generalfever. To this succeeds a defervescence, with abatement of the localinflammation ; its sequelae becoming manifested in a more or lesspersistent oedema of the part lately inflamed. After intervals ofdays, weeks, or months, the pyrexia recurs with still greater involve-ment of the swollen tissues which, with each access of fever, increasein volume and gain in density. When the elephantiasic condition isfully developed, the skin is found to be tense, glossy,
. A practical treatise on diseases of the skin, for the use of students and practioners . s. At the same time there is a condition of generalfever. To this succeeds a defervescence, with abatement of the localinflammation ; its sequelae becoming manifested in a more or lesspersistent oedema of the part lately inflamed. After intervals ofdays, weeks, or months, the pyrexia recurs with still greater involve-ment of the swollen tissues which, with each access of fever, increasein volume and gain in density. When the elephantiasic condition isfully developed, the skin is found to be tense, glossy, and blanchedor discolored in various shades. Pressure upon the oedematous partis followed by pitting, but the tissue beneath is felt to be brawny andindurated. The parts beneath the skin are perceptibly increased involume, especially the subcutaneous tissue ; and the circumference ofa limb thus diseased may be several times larger than that of itsfellow. A lymphangitis is usuallly declared by painful, cordlike,linear indurations of the part, associated with adenopathy of the Fro. Elephantiasis scroti. nearest ganglia. In older cases, the skin loses its glabrous aspect,and exhibits eczematous, verrucous, papillomatous, seborrhoeic, andeven ichthyotic changes. Pigmentation, even to a blackish tint, mayensue; scaling, Assuring, and furrowing are common; and the accum-ulation of altered sweat and sebum in these depresssions is the 414 DISEASES OF THE SKIN. source of an offensive stench. During the course of the diseasealmost all of the elementary lesious of the skin may be displayed bythe skin, maculae, vesicles, papules, tubercles, pustules, blebs, ulcers,crusts, scales, excoriations, and fissures. Warty growths form aslarge as those seen in ichthyosis hystrix, and in some cases reddish-colored tumors spring from the hypertrophied integument. When fully developed in the lower extremity, the unwieldy limbwith the foot, ankle, and leg massed into one huge, cumbrouscylinder, be
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Keywords: ., bookauthorhydejame, bookcentury1800, bookdecade1880, bookyear1888
