A handbook of diseases of women : including diseases of the bladder and urethra / by F. Winckel ; authorised translation edited by Theophilus Parvin.

Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: A handbook of diseases of women : including diseases of the bladder and urethra / by F. Winckel ; authorised translation edited by Theophilus Parvin. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

    46/792 (page 34)
    DISEASES OF WOMEN. _ The hypertrophy of the different parts of the skin is quite va- riable, so that the tumor may appear globular, lobulated, or like a massive condyloma. It is still a mooted question whether the deeper layers of the cutis are first affected, or the capillary lymph vessels of the corium, or whether the lymph stasis caused by the hyperplasia is produced by the pressure of the swollen glands upon the lymphatics. The following varieties of elephantiasis are recognized, the division being based upon the external ap- pearance : Fig. 4. Elephantiasis of the Nymphse. Elephantiasis glabra (smooth;) E. verrucosa (warty) ; and E. papillomatosa (papillary); according to their consistence, they are designated E. dura and E. mollis; when there is much hy- pertrophy of the horny layer of the skin the condition is known as ichthyosis vulvae. Klebs makes the following divisions, dependent upon the nature of the disorder : The lymphangiectomatic, epidermoidal, and elephantiasis of