GOUNDOU 411 



PATHOLOGY. 



The gland capsule is thickened. 



The lymphocytes are in great excess. 



Ha^morrhagic foci may be seen. 



There are numerous typical plasma cells that are absent in plague. 



The retractile cells of Recklinghausen are absent, but present in 

 plague. 



SYMPTOMATOLOGY. 



The onset is gradual. 



Several days of malaise precede slight fever and pain in one or 

 other or both inguinal glands. 



The inguinal glands are enlarged, hard and tender. 



These may become as large as a goose's ^gg- 



A.S a rule they do not suppurate. 



Lymphangitis is absent. 



Aspiration yields a little sterile fluid, but no pus. 



The fever is low and irregular, about 102° F. 



The disease may last a few days, weeks, or months. 



The general health is good. 



TREATMENT. 



This is symptomatic. Rest in bed. Lead lotion, ichthyol and 

 belladonna ointment, and mild aperients. 

 Incise when sepsis is present. 



GOUNDOU. 



This condition is a bony, bilateral, symmetrical swelling situated 

 on either side of the root of the nose. It is rarely unilateral. 



Some observers assert that it is a general condition that affects the 

 other bones of the skeleton also. 



It occurs in young people of native races and is commonest in 

 the West Indies. The writer has seen it in the Kasai basin, Central 

 Africa and on the Gold Coast. 



The condition has been reported in an European (Cantlie). 



The aetiology is unknown. 



PATHOLOGY. 



Outside the bony swelling is a thin layer of compact bone, all the 

 remaining mass being spongy bone. 



The covering periosteum strips off easily and shows no sign of 

 inflammation. 



The growth may be attached to the nasal bone, the nasal process 

 of the superior maxilla, or to the maxilla itself. 



The skin over the tumour is always freely movable. 



