. A practical treatise on diseases of the skin, for the use of students and practitioners. omen, the upper extremities, the face, and portions of the trunkmay likewise become involved. The disease is insidious in its approach, and remarkably chronic inits career. Usually, localized inflammations precede, as an erysipelasor a dermatitis, with or without some involvement of the lymphaticvessels and glands. At the same time there is a condition of generalfever, to which succeeds a defervescence, with abatement of the localinflammation, its sequels becoming manifested in a more or less per-sistent
. A practical treatise on diseases of the skin, for the use of students and practitioners. omen, the upper extremities, the face, and portions of the trunkmay likewise become involved. The disease is insidious in its approach, and remarkably chronic inits career. Usually, localized inflammations precede, as an erysipelasor a dermatitis, with or without some involvement of the lymphaticvessels and glands. At the same time there is a condition of generalfever, to which succeeds a defervescence, with abatement of the localinflammation, its sequels becoming manifested in a more or less per-sistent oedema of the part lately inflamed. After intervals of days,weeks, or months, the pyrexia recurs with still greater involvement ofthe swollen tissues, which, with each access of fever, increase in volumeand gain in density. When the elephantiasic condition is fully devel-oped the skin is found to be tense, glossy, and blanched or discoloredin various shades. Pressure upon the oedematous part is followed bypitting, but the tissue beneath is felt to be brawny and indurated. The Fig. Elephantiasis of the foot and leg. parts beneath the skin are perceptibly increased in volume, especiallythe subcutaneous tissue; and the circumference of a limb thus diseasedmay be several times larger than that of its fellow. A lymphangitisis usually declared by painful, cord-like, linear indurations of the part,associated with adenopathy of the nearest ganglia. In older cases theskin loses its glabrous aspect, and exhibits eczematous, verrucous, papil-lomatous, seborrheic, and even ichthyotic changes. Pigmentation, evento a blackish tint, may ensue; scaling, Assuring, and furrowing arecommon; 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, excoriation
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Keywords: ., bookauthorhydejamesnevins184019, bookcentury1800, bookdecade1890
