In desperation he often lay and
writhed on the floor in agony. The intense suffering lasted, as a
rule, for about a half hour, but he was never without pain of the
neuralgic type. He was freer of pain in summer than in winter.
Exsection of the brachial plexus was performed, but gave only
temporary relief. The man died in his eighty-fourth year of
senile debility.
According to Osler the tubercula dolorosa or true fascicular
neuroma is not always made up of nerve-fibers, but, as shown by
Hoggan, may be an adenomatous growth of the sweat-glands.
Yaws may be defined as an endemic, specific, and contagious
disease, characterized by raspberry-like nodules with or without
constitutional disturbance. Its synonym, frambesia, is from the
French, framboise, a raspberry. Yaws is derived from a Carib
word, the meaning of which is doubtful. It is a disease confined
chiefly to tropical climates, and is found on the west coast of
Africa for about ten degrees on each side of the equator, and
also on the east coast in the central regions, but rarely in the
north. It is also found in Madagascar, Mozambique, Ceylon,
Hindoostan, and nearly all the tropical islands of the world.
Crocker believes it probable that the button-scurvy of Ireland,
now extinct, but described by various writers of 1823 to 1857 as
a contagious disease which was prevalent in the south and in the
interior of the island, was closely allied to yaws, if not
identical with it.
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