2 ART. 7. — I. IJIMA. 



guinal hernia. Dr. Shioda tells me that the cause of the hernia, 

 which was on the left side, was traceable to the presence of tlie 

 pnrasites in the region of the Ligamentum Poupartii. The patient 

 was then thirty-three years of age. Aside from the affliction 

 complained of, what at once attracted the attention of the medical 

 attendants was the peculiarly swollen state of the integument 

 which bore scattered spots of acne-like appearance. This abnormal 

 state of the skin extended over nearly the entire body, except, so 

 far as I could roughly observe, on the face and the upper ex- 

 tremities, but was most strikingly noticeable on the left thigh. 

 This was excessively swollen and had very much the appearance 

 of elephantiasis, though the skin and the underlying tissues were 

 quite soft so that they hung down by their own weight and could 

 be grasped in a flaccid mass by the hand. 



Of the statements made by the patient I will refer to only 

 a few points. When twenty-five years old, she had had a tape- 

 worm ; but that surely had nothing to do with the present para- 

 sitic disease. The dermal flPection was said to have been first 

 felt in her thirty-first year, i.e., about two years previously to her 

 coming to the hospital. It had apparently given the patient no 

 trouble beyond that imposed upon motion by the swollen thigh 

 and the itching of the skin in parts where a pimple-like hardening 

 made its appearance. Scratching with the nails in order to ap- 

 pease the itching had led to breaking of the skin at the spot, 

 from which could then be pressed out a soft whitish mass together 

 with some fluid. A number of small scars, seen more especially 

 on the breasts, attested to abrasions thus effected apparently not 

 long before Details of clinical and pathological observations 

 will doubtless be given in a forthcoming report by Professor 



KONDÖ. 



