A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . been added, applied with a brush, is my favorite for suchpurposes. Solution of ethylate of sodium may be used and is effi-cacious as a destroyer of abnormal structures. Scraping away the dis-eased skin with a sharp-edged scoop or curette and applying subse-quently caustics, such as zinc chloride or one of those mentioned above,is a proper and often efficient method of treatment. The thermo-cautery or galvanic cautery, is an avai
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . been added, applied with a brush, is my favorite for suchpurposes. Solution of ethylate of sodium may be used and is effi-cacious as a destroyer of abnormal structures. Scraping away the dis-eased skin with a sharp-edged scoop or curette and applying subse-quently caustics, such as zinc chloride or one of those mentioned above,is a proper and often efficient method of treatment. The thermo-cautery or galvanic cautery, is an available method of obtaining asimilar object. Excision of the ulcer may sometimes be justifiablewhen the gap can be closed by a plastic procedure. Multiple incisionsare said to be beneficial by arousing traumatic inflammation. Kochs tuberculin used hypodermically has had some reputation asa remedy. ARABIAN ELEPHANTIASIS. Definition.—Arabian elephantiasis, or Barbadoes leg, is a local dis-ease, characterized by chronic hypertrophy of the skin and underlyingcellular tissue, giving rise to discoloration, thickening, induration,warty growths and deformity. Fig. Arabian elephantiasis. It is essentially different from Grecian elephantiasis, or leprosy,which is due to a vegetable parasite, the bacillus of leprosy. Leprosydoes not belong to the domain of surgery. ARABIAN ELEPHANTIASIS. 173 Symptoms.—The first step in the disease is a local inflammation ofan erysipelatous kind, accompanied by involvement of the lymphaticvessels and glands. This attack subsides, leaving the part, usually aleg or the genitals, somewhat enlarged and oedematous. Recurrenceof such inflammatory conditions takes place at intervals, leaving ineach instance more thickening and deformity. In the course of a yearor two the hypertrophied skin and subcutaneous tissue cause the partto assume enormous proportions. The thickened, hardened skin hangsin irregular folds, and the surface often becomes eczematous. Fro
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