CLINICAL VARIETIES 



287 



Poor results are obtained in acute, but better in chronic cases. 

 Some have tapped the affected parts with Southey's tubes, others have 

 cut out long square masses and have sutured up the cavity, while others 

 have inserted fine threads to form the bases of new lymph channels 

 (Lymphangioplasty), 



All improvements in consec^uence of these measures are more or 



Elephantoid tumour of the buttock. 



less slight and transitory. Final and permanent results of all surgical 

 measures are disappointing. 



A QUERIED POINT. 



Some still ask : " Is elephantiasis arabum caused by the filaria, as 

 these are not usually present in the blood or elsewhere?" 



Sir Patrick Manson answers : " Yes," for the following reasons : — 



