Ivi APPENDIX. , 



26tTi. During the past twenty-four hours No. 60 plaque has become more 

 Prominent, but No. 69 persists. Temp. A.M. 37'6 <J., P. 40, E. 16 ; P.M. 

 38-2 C., P. 44, E. 16. 



27th. Three fresh plaques have appeared, No. 61 (urticarial) close to No. 

 50 on the E. side of abdomen, 0'25 inch in. diameter. Nos. 02 and 63 are 

 similarly'situated in 3 uxta- position to No. 60 and are all about the same 

 dimensions. Temp. A.M. 37'7 C., P. 40, E. 16 ; P.M. 38'2 C., P. 48, E. 15. 



28th. The four plaques Nos. 59, 60, 61, and 62 retain their former shape 

 and size. The swelling of the external genitals has increased. Temperature 

 A.M. 38-4 C., P. 40, E. 16 ; P.M. 38'2 C., P. 46, R. 16. 



29th. Plaques Nos. 60,61, and 62 have decreased in size, but No. 59 per- 

 sists. The swelling of the labia has now extended to the tissues around the 

 anus, and downwards into the perinaeum. Temp. A.M. 38 f l C., P. 40, E. 13 ; 

 P.M. 38-2 C., P. 44, R. 14. 



30th. Plaque No. 61 has disappeared, while Nos. 59, 62, and 63 have de- 

 creased, but No. 60 has increased in size and now measures 3 inches in diameter. 

 The swelling and oedema of the perinaeum has decreased somewhat during 

 the past 24 hours. Temp. A.M. 37'8 C., P. 40, E, 16 ; P.M. 8'0 C., P. 38, 

 R. 14. 



31st. Plaque No. 60 has become more prominent and pitted in the centre, 

 while a small projection has formed from the inferior edge, as if the plaque 

 had budded. No. 59 has disappeared. Two fresh plaques have appeared, Nos. 

 64 and 65, which have more or less occupied the positions previously occupied 

 by Nos. 8 and 29 on the left hip, which latter disappeared on the 15th June 

 and 19tb July, respectively. Nos. 64 and 65 are small, circular in form, and 

 both have pitted centres. No. 66 appeared on the left flank, circular, 4 inches 

 in diameter, but only the hair at the circumference is raised. No. 67, which 

 appeared on the left side of the chest, is also circular, 2 inches in diameter, 

 only one portion of the circumference is raised, while the other portion is on a 

 level with the surrounding tissues. Temp. A.M. 37'7 C., P. 38, E. 15 ; P.M. 

 37'9 C., P. 42, E. 16. 



1st September. Plaque No. 67 has decreased in size, but Nos. 60, 64, 65, 

 and 66 remain as before noted. The oelema has disappeared from the perinaeum, 

 but that of the labia and udder persists. Temp. A.M. 37'8 C., P. 38, E. 12 ; 

 P.M. 37-6 C., P. 40, E. 16. 



2nd. Plaques Nos. 64, 65, 66, and 67 have decreased in size, but No. 60 

 remains unaltered. The swelling and oedema of the tissues of the anus and 

 labia have decreased, but that of the udder persists. Temp. A.M. 37*6 C., P. 38, 

 E. 14 ; P.M. 38-0 C., P. 40, E. 16. 



3rd. A fresh plaque No. 68 has appeared on the right side of the ribs ; it 

 is hard in consistency, with a raised centre measuring 2'5x 2 inches. The 

 oedema of udder persists, and that in the other situations has decreased. Temp. 

 A.M. 37'& C., P. 36, E. 13 ; P. M. 38'0C., P. 40, E. 16. 



4th. 'The prominence of plaque No. 68 is more marked, while Nos. 60, 64, 

 and 65 have decreased. Nos. 66 and 67 remain unaltered. The swelling and 

 oedema of the parts persist. Temp. A.M. 381 C., P. 38, E. 12; P.M. 38'3 6 C., 

 P. 40, R. 14. 



