SCARLATINA. 391 



the rash and scarlet spots begin to disappear, and on the rash 

 declining, some desquamation of the cuticle takes place, the 

 skin being scurfy, and the coat dirty for some time afterwards. 



2. Scarlatina anginosa. — The symptoms at first may be those 

 of the simple form, which, instead of disappearing, may continue 

 to increase in severity. The limbs rapidly swell, the swellings 

 appearing in lumps or masses, large, hot, painful, and numerous. 

 These swellings may also appear on the body and face ; they are 

 inconstant in their seat, aften disappearing from one place and 

 appearing at another, whilst the intervening spaces may be 

 covered by a rash similar to that of urticaria, and by blotches 

 not elevated to the touch. The skin covering the blotches will 

 often be found moist, and an amber-coloured serosity will ooze 

 from it. The petechial spots on the membrane of the nose in- 

 crease in size, and become more intense in colour, assuming a 

 tinge of purple, more especially at their centres ; in other cases 

 they coalesce, forming one large block, which covers the whole 

 nasal chamber. 



The soreness of the throat now becomes very great, and is 

 accompanied by a loud moist cough, and at each cough large 

 quantities of a yellowish-red mucus are discharged through the 

 nose and mouth. There is difficulty in swallowing, and in some 

 cases in breathing, the inspiratory act being accompanied by a 

 roaring noise, and by a snuffling nasal sound. The submaxillary 

 lymphatic glands become enlarged, tender, and inflamed, and 

 suppuration occurs after the other symptoms have begun to 

 disappear. 



In favourable cases the soreness of the throat will recede with 

 the eruption about the fourth or fifth day, whilst in others it 

 will remain for some days after the disappearance of the rash. 

 In all cases that recover, however, both the exanthem and 

 angina will have disappeared by the ninth or tenth day, 

 leaving the animal weak, emaciated, with swollen limbs, and 

 in a more or less unthrifty condition for some time longer. 



The fever is usually proportioned to the severity of the sore 

 throat, and very often, but not always, to the rash. In slight 

 attacks, the fever, rash, and angina are of a mild character ; but 

 in the severer forms they are proportionately grave. The pulse, 

 which is always of a weak or feeble character, varies from 60 or 70 

 in the mild, to 90 or even 100 in the severe forms; tlie respiratory 



