File:Tri-State medical journal and practitioner (1897) (14591634280).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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is time were thatthere would most probably be a continuance of the process and extensionupwards, unless active measures were taken to arrest it. Like all ornearly all patients in public hospitals, she objected quite strenuously to Elephantiasis—Ohmann-Dumesnil. 213 any method proposed, and accordingly left the hospital, and has been lostsight of since that time. As may be surmised from what has been said, the trouble consistsessentially in an hypertrophy of the skin, more especially affecting thedeeper layers. The corium suffers a marked thickening, the stratummucosum sharing in this, and the outermost, or stratum corneum, beingalso affected, somewhat in the same manner. Large lymphatic spaces andhypertrophy of the lymphatic vessels, as well as an increase in their num-ber, may be observed; all of which would tend to support the theory thatthe disease depends essentially upon an obstruction of lymphatic vessels.Any one who has carefully read Buseys interesting resume of articles em-
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Fig. 2. Elephantiasis of Right Leg in a Woman (Caucasian). braced in his work on Obstruction of the Lymph-Channels, will beimmediately struck by the truth of this explanation, not only for the originof elephantiasis, but also for that of many other conditions which, at firstglance, have seemingly no connection with one another. The conditionnow being considered has no connection whatever with lymph varices,lymphangioma, or with a curious condition of dilatation of lymph spaceswhich I have had occasion to observe in a single instance. The questionin connection with the pathogeny of elephantiasis is in regard to theultimate cause of the peculiar obstruction of the lymph-channels. We aretold by competent authority that the filaria sanguinis hominis is the truecause bringing on that condition known as filariasis, which is equally 214 Original Articles. held responsible for hemato-chyluria, a tropical disease of which I find norecord of having been seen in this country, and of which I had

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