586 The Limbs as a Whole. 



is lost ; and the aptness of the term " elephantiasis '' is at once 

 felt. The cast resembles the foot of an elephant much more 

 than that of a man. G. C. 1821. 



Presented by Dr Robertson, August 1836. 



11. 51. Elephantiasis of Leg". — Foot from which the previous 

 cast was taken — in spirit. No number was attached to this 

 specimen, but it is evidently the one from which the foregoing 

 cast has been taken. 



The papillae of the skin of the foot are much exaggerated. 

 The swelling has in many places been apparently due to 

 oedema, for the skin can be pressed down upon the deeper parts 

 as if it were an indiarubber ball. The papillae of the skin of 

 the foot, except on that part of the sole which has borne 

 pressure, are much exaggerated, and stand out individually as on 

 a carnivorous animal's tongue. The bones of the leg where sawn 

 across seem quite natural, without any appearance of enlarge- 

 ment. The substance of the muscles is opened out, as if 

 traversed by numerous channels. G. C. 1821a. 



Bupuytren's Contraction of the Palmar Fascia. 



11. 52. Dupuytren's Contraction. — Plaster of Paris cast of a right 

 hand — illustrating the above. 



The subject was a man 65 yeai's of age, alcoholic and gouty, but 

 without having had any acute attack of gout. The condition was present 

 for tliirty or forty years, and was sujjposed to have been caused by hard 

 delving in Ceylon. He declined any operation. 



The cast shows a drawing down, especially of the middle 

 finger, and a ridge formed by the thickened fascise, where it has- 

 been stretched. The thumb is also partly drawn down. 



G. C. 3403. 

 Presentedby T. Burn Murdoch, M.Ii., 1892. 



