Treatise on gynaecology : medical and surgical . posing diathesis should be treated at the same time, toavoid the return of the malady. BIBLIOGRAPHY. 1. Huguier: Mem. sur les Mai. des Appar. Secret., etc. Mem. de IAcad., vol. xv. 2. Gallard: Lee;. Clin, sur les Mai. des Femmes, p. 335, 1879. 3. Barnes: Traite Clin, des Mai. des Femmes, French trans., p. 746, 1866. 4. Veillard : Epidemie de Gang, des Org. Genit., etc. Paris Thesis, 1873. 5. Rouvier of Marseilles: Quelques Phenom. Supp. des Regies. Ann. de Gyn.,1879. 6. Zweifel : Die Krankh. der auss. weib. Genit., 1885, p. 50. 7. Bruneau : Etud
Treatise on gynaecology : medical and surgical . posing diathesis should be treated at the same time, toavoid the return of the malady. BIBLIOGRAPHY. 1. Huguier: Mem. sur les Mai. des Appar. Secret., etc. Mem. de IAcad., vol. xv. 2. Gallard: Lee;. Clin, sur les Mai. des Femmes, p. 335, 1879. 3. Barnes: Traite Clin, des Mai. des Femmes, French trans., p. 746, 1866. 4. Veillard : Epidemie de Gang, des Org. Genit., etc. Paris Thesis, 1873. 5. Rouvier of Marseilles: Quelques Phenom. Supp. des Regies. Ann. de Gyn.,1879. 6. Zweifel : Die Krankh. der auss. weib. Genit., 1885, p. 50. 7. Bruneau : Etude sur les Eruptions Herpet., etc. Paris Thesis, 1880. CHAPTER XIX. LUPUS (ESTHIOMENE) OF THE VULVA. Definition.—TIlq name of esthiomene {iadietv~to devour) or lupusof the vulva has retained since the days of Huguier,i who first de-scribed it, a purely clinical signification. It is applied to lesions of avariable nature which present the common characters of a tendencyto hypertrophy and a slow ulceration which has a progressively de- a-—>. Fig. 129.—Lupus of the Vulva (Thin). Section vertical to the external surface, a, Normal epithe-lium; 6, blood-vessel; c, infiltration of small cells about the d, fusiform connective-tissue cells. structive effect on the vulvar region. This affection has been justlycompared to lupus of the face on account of its appearance andcourse; but the demonstration of the tuberculous nature, as in lupusof the face, has yet to be made for the vulvar affection. Pathology.—As every ulceration whose borders had a tendencyto hypertrophy has been called lupus, it is not astonishing that themost diverse histological changes have been encountered in this dis-ease, comparable to elephantiasis at one time and to tubular epithe- 398 CLINICAL AND OPERATIVE GYNECOLOGY. lioma (Cornil) at anotlier,^ Again, the only lesion found has beenthat of inflammation of the derma with an inflltration of embryoniccells into the connective tissue, especially about the v
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