. Hand-book of skin diseases for students and practitioners . rs in that disease. It appears to prevail amongst the ill-fed and those of dirtyhabits. The disease is much rarer now than it was twentyyears ago. Elephas, pachydermia, Barbadoes leg, or the elephantiasis 214 HYPERTROPHIES AND DEGENERATIONS. of the Arabs, must not be confounded with the disease justdescribed. It is characterized by hypertrophy of the skinand the subcutaneous areolar tissue. It may affect the leg,the arm, the scrotum, or the mammae. The disease fre-quently begins with acute febrile symptoms, darting pains,and a feeli


. Hand-book of skin diseases for students and practitioners . rs in that disease. It appears to prevail amongst the ill-fed and those of dirtyhabits. The disease is much rarer now than it was twentyyears ago. Elephas, pachydermia, Barbadoes leg, or the elephantiasis 214 HYPERTROPHIES AND DEGENERATIONS. of the Arabs, must not be confounded with the disease justdescribed. It is characterized by hypertrophy of the skinand the subcutaneous areolar tissue. It may affect the leg,the arm, the scrotum, or the mammae. The disease fre-quently begins with acute febrile symptoms, darting pains,and a feeling of tension in the course of the superficial lym-phatics, which soon swell and form knotted Cords, whilst theglands become swollen and tender. The superficial veinssometimes become hard and corded; occasionally there isdiffused redness of the skin. All these symptoms may dis-appear and after a certain time recur. The part swells, isnot painful, but merely uneasy from tension. The glandsbecome large and hard, and the affected part slightly swollen. Fig. Elephantiasis of the foot and leg. After several relapses the swelling becomes much increased;it is soft, and pits on pressure. At length the skin is whiteand shining, or it is of a dark color, much thickened andstudded with projecting veins; the swelling is now immenseand quite hard. ELEPHANTIASIS AKABUM. 215 The lymphatic glands often suppurate or slough, the jointsare sometimes invaded by chronic inflammation, and theskin may become covered with scales as in ichthyosis, orunhealthy intractable ulcers may occur. Frequently, how-ever, none of these complications ensue, the general healthremains good, and the only inconvenience experienced isfrom the size of the swelling. In the scrotum this diseasemay attain an enormous size, so that the tumor weighs from Fig. 2.


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Keywords: ., bookcentury1800, bookdecade1860, booksubjectskindis, bookyear1865