. A practical treatise on diseases of the skin, for the use of students and practitioners. and the accumulation of altered sweat and sebum in thesedepressions is the source of an offensive stench. During the courseof the disease almost all the elementary lesions of the skin may be dis-played by the skin, macules, vesicles, papules, tubercles, pustules, blebs,ulcers, crusts, scales, excoriations, and fissures. Warty growths formas large as those seen in ichthyosis hystrix, and in some cases reddish-colored tumors spring from the hypertrophiecl integument. When fully developed in the lower extre
. A practical treatise on diseases of the skin, for the use of students and practitioners. and the accumulation of altered sweat and sebum in thesedepressions is the source of an offensive stench. During the courseof the disease almost all the elementary lesions of the skin may be dis-played by the skin, macules, vesicles, papules, tubercles, pustules, blebs,ulcers, crusts, scales, excoriations, and fissures. Warty growths formas large as those seen in ichthyosis hystrix, and in some cases reddish-colored tumors spring from the hypertrophiecl integument. When fully developed in the lower extremity the unwieldy limb,with the foot, ankle, and leg massed into one huge, cumbrous cylinder 478 DISEASES OF THE SKIN. (Figs. 57 and 58), bears a striking resemblance to that of the elephant,from which circumstance the malady first received its name among theArabs. Locomotion is then greatly impeded or is rendered impossi-ble. No less striking is the similar deformity of the genital labia ofwomen or the scrotum of the male, the latter at times hanging farbelow the knees (Fig. 58). Fig. Elephantiasis scroti. In its rugous folds the penis disappears, and the urine is passedalong a gutter formed of skin transformed into quasi-mucous a consequence of the fissures and excoriations which form, the lym-phatic channels are finally opened, and a true lymphorrhea similar process the ear may become largely pendulous by theside of the neck. Subjectively, the disease may be regarded as productive of less dis-comfort than would be suggested by its formidable features. Pain isoccasionally experienced, and, during the exacerbations accompaniedby pyrexia, there is corresponding malaise. The chief subjective sen-sations are those induced by weight and consequent tension, inseparablefrom the enormous masses of hypertrophied tissue. In elephantiasis of the scrotum there are frequently symptoms ofirritation, both systemic and in the vicinity of the affected part (nausea,vo
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Keywords: ., bookauthorhydejamesnevins184019, bookcentury1800, bookdecade1890
