At the end of six months there was another attack, after
which the patient perceived that the face continued puffed. This
attack was followed by several others, the face growing larger
and larger. In similar cases tumefaction assumes enormous
proportions, and Schenck speaks of a man whose head exceeded that
of an ox in size, the lower part of the face being entirely
covered with the nose, which had to be raised to enable its
unhappy owner to breathe.
Rayer cites two instances in which elephantiasis of the breast
enlarged these organs to such a degree that they hung to the
knees. Salmuth speaks of a woman whose breasts increased to such
a size that they hung down to her knees. At the same time she had
in both axillae glandular tumors as large as the head of a fetus.
Borellus also quotes the case of a woman whose breasts became so
large that it was necessary to support them by straps, which
passed over the shoulders and neck.
Elephantiasis is occasionally seen in the genital regions of the
female, but more often in the scrotum of the male, in which
location it produces enormous tumors, which sometimes reach to
the ground and become so heavy as to prevent locomotion. This
condition is curious in the fact that these immense tumors have
been successfully removed, the testicles and penis, which had
long since ceased to be distinguished, saved, and their function
restored.
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