The skin
of the affected finger, contrary to the general appearance of a
part affected with elephantiasis, was of normal color, smooth,
shiny, showed no sensibility, and the muscles had undergone fatty
degeneration. It was successfully amputated in August, 1894. The
accompanying illustration shows a dorsal view of the affected
hand.
Magalhaes of Rio Janeiro reports a very interesting case of
elephantiasis of the scalp, representing dermatolysis, in which
the fold of hypertrophied skin fell over the face like the hide
of an elephant, somewhat similar in appearance to the
"elephant-man." Figure 279 represents a somewhat similar
hypertrophic condition of the scalp and face reported in the
Photographic Review of Medicine and Surgery, 1870.
Elephantiasis of the face sometimes only attacks it on one side.
Such a case was reported by Alard, in which the elephantiasis
seems to have been complicated with eczema of the ear. Willier,
also quoted by Alard, describes a remarkable case of
elephantiasis of the face. After a debauch this patient
experienced violent pain in the left cheek below the zygomatic
arch; this soon extended under the chin, and the submaxillary
glands enlarged and became painful; the face swelled and became
erythematous, and the patient experienced nausea and slight
chills.
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