GLANDERS AND FARCY. A51 
closing of the lymphatic vessels and glands thus effected interferes 
wita, and even prevents, a performance of their functions, or stops 
the absorption of lymph, and cedematous swellings, more or less ex- 
tensive, are the necessary consequence. The same make their ap- 
pearance especially if the seat of the morbid process is on the inside 
of a leg, and if either the inguinal or axillary glands are swelled and 
closed by a deposit of deleterious matter. The more extensive and com- 
plete the swelling and closing of the lymphatic vessels and glands, or 
the more lymphatics are affected, the more extensive is also the cedema. 
Lameness, usually caused by such an cedema, is also a frequent at- 
tendant. 
The roundish boils or tumors increase in size from that of a hazel-nut 
to that of a hen’s egg. At first, when such a boil is making its appear- 
ance, it is not fastened to the skin; the latter can yet be moved a little 
in every direction over the boil, but soon the neoplastic process and the 
subsequent decay will extend to the tissue of the skin, and boil and skin 
will become firmly united before the ulcer breaks and discharges its ex- 
tremely infectious and corrosive contents, consisting of decaying glan- 
ders-cells or matter, and lymph. 
(b.) Hxanthematous glanders or skin farey.—In this form of glanders 
or farcy the principal seat of the morbid process is in the tissue and 
in the lymphatics of the skin or cutis. It is arare form in horses, but 
the only one in which external glanders or farcy makes 1ts appearance 
in ahuman being. Distinctly limited swellings (nodules and tumors) of 
the size of a pea to that of a hazet-nut, either isolated, or united and re- 
sembling a string of beads, make their appearance in the tissue of the 
skin. These swellings soon break, and then present round ulcers with 
elevated and corroded borders. The discharge consists of a mixture of 
matter, composed mainly of decayed glanders-cells and lymph. In 
other, though rather rare cases, the swellings are very small and numerous, 
and present themselves as small nodules, some of which are so small as 
to be scarcely visible, while others are about as large as common peas. 
These small swellings, too, are soon changed to ulcers, which are usually 
flat, lenticular, and constantly suppurating. If close together the same 
become frequently confluent. Only one case of skin-farcy has ever come 
under my observation. It was about five years ago, at Manhattan, 
Kans. Numerous small ulcers were crowded closely together on the 
nose and the muzzle of the horse, which was also affected with nasal 
glanders. 
On the human skin, not being covered with hair, the whole process 
can be observed much better than on the skin of a horse. Professor. 
Virehow’s description of skin-farcy in men may, therefore, find a place. 
Virchow says: 
At first these spots are much reddened, but very small, almost like flea-bites; then 
_ papular swellings are formed; the surface of those swellings rises gradually rather in 
the shape of a round and solid elevation than of a pustule, and assumes a yellowish 
color, which gives it a pustulous appearance. If the epidermis is removed from such 
a flat or roundish papule or nodule, which is not depressed in the center, but sur- 
rounded by a swelled and reddened court, a puriform, moderately consistent yellowish 
fluid is formed, which contains but few organized constituents, and consists mainly of 
the decayed elements of the formerly solid nodule. The fluid, therefore, is not lodged 
in a pustulous elevation of the epidermis, but in a small hole in the corium, which 
penetrates the latter as if it had.been made with a punch. After some time the fluid 
(matter) becomes colored by hemorrhagic admixtures; still later its color is changed to 
bluish red, and finally small brown or blackish crusts or seabs are formed. Such erup- 
tions appear sometimes in enormous numbers on the whole bedy.—(Gerlach’s Treatise.) 
Nasal gleet.—This is a name which I have accepted only with great re- 
luctance, because it signifies no definite disease, and is used frequently, 
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