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is generally noticed at first Is that a small pustule has 

 broken out on the edge of an old scar, or adjacent to it ; 

 on closer examination tumefaction is generally found to 

 exist around the place, and cording and knotting of the 

 adjacent lymphatic vessels may also usually be felt 

 so clearly that even from the beginning they may be 

 frequently seen from a distance. But the time required 

 for all these various symptoms to develop varies greatly ; 

 sometimes when a limb is the seat of the disease, the 

 whole leg may suddenly swell up like an ordinary case 

 of lymphangitis, and no cording or nodules may be 

 recognized until the acute inflammation and diflFuse 

 swelling have subsided. At other times, the corded 

 lymphatics may be noticed some considerable time 

 before any pustules make their appearance, and a long 

 chain of nodules may be seen extending along the 

 course of the lymphatics of a limb, or, if situated on 

 the head, neck, or trunk, they radiate towards the 

 nearest lymphatic glands. 



The nodules vary in size, from a pea to a hen's 

 egg ; they are well-defined, and at first hard and 

 Indurated, but as the disease runs Its course, they 

 soften ; the time required for this change Is very 

 irregular, and principally depends upon the resistance 

 of the surrounding tissues. 



Along the course of the lymphatic vessels affected, 

 pustules and abscesses are formed, which burst and 

 discharge a thick, yellow pus, stained with blood ; 

 the abscesses now continue to discharge, and their 

 cavities become filled up with exuberant granulations, 

 which, protruding beyond the surface of the skin (the 

 edges of which are inclined to become Inverted), form 

 bright red fungoid (rosette) growths, which bleed easily 

 when touched, and very much resemble farcy buds. 

 Wounds which become infected with the disease may 



