GLANDEES AND FAECY. 263 



closing of tlie ]ym])liatic vessels and glands tlius effected interferes 

 witli, and even prevents, a performance of their functions, or stops 

 the absorption of lymph, and cedematous swellings, more or less ex- 

 tensive, are tlie necessary consequence. Tlic 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 sv.-elling and closing of the lymphatic vessels and glands, or 

 tlie more lymphatics are affected, the more extensive is also the oedema. 

 Lameness, usually caused by such an oedema, is also a fi'equent 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 e^'ery direction over the l)oil, but soon the neoplastic process and the 

 subsequent decay will exteinl 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. 



(h.) Exantliematous glanders or slin farcy. — 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 a rare form in horses, but 

 the only one in which external glanders or farcy makes its appearance 

 in a human being. Distinctly limited swellings (nodules and tumors) of 

 the size of a pea to that of a hazel-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 swellmgs are very small and numerous, 

 and present themselves as small nodules, some of which arc 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 sam<i 

 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 

 Virchow's description of skui-farcy in men may, theretbre, find a place. 

 Virchow says : 



At first tlicsc. spots arc imioh rcddoiiod, l>nt very small, almost like flea-ljites; then 

 papular nwi'llings are formed ; the Miiriace of those swellings rises graduailj' rather in 

 the shape of a round and solid elevation than of a pustule, and assumes a yellowish 

 color, -whieh gives it a ];ustulous appearanee. If the epidermis is removed irom sueh 

 a flat or roundish papule or nodule, %vhieh is not depressed in the centiT, but sur- 

 rounded by a SAvelled and reddened eourt,a puriform, moderately consistent yellowish 

 fluid is formed, vrhich contains but few organized constituents, and consists mainly of 

 the decayed elements of the formerly solid nodule. 'J'he tluid, therefore, is not lodged 

 in a jjustulons elevation of the ejiiderniis, but in a small hole in the c<uium, which 

 penetrates the latter as if it lunl l;een made with a i)uneh. After some time the linid 

 (matter) becomes colored l>y hemorrhagic admixtures; stilllater itsi'oloriselianged to 

 bluish red, and finally smaU brown or blackisli crusts or scabs arc formed. Such erup- 

 tions appear sometimes in enormous numbers on the whole body. — (Cerlaeh's Treatise.) 



Naml gleet. — This is a name which I have accepted only with great re- 

 luctance, because it signilies no delinite disease, and is used frequently, 



