ELEPHANTIASIS 



1611 



Varieties. — ^The most common varieties of elephantiasis are the 



affection of the leg, scrotum, vulva, arm, and breast, while other 



regions are much more rarely affected. The different varieties 

 must now be briefly described. 



Elephantiasis of the Leg. 



Symptomatology. — 'During attacks of filarial lymphangitis of the 

 leg it is noticed that the limb becomes swollen, and though after the 

 first attack it may resume its normal size, this does not happen 

 after repeated successive attacks, and gradualty the limb becomes 



Fig. 718. — Elephantiasis of the Legs. 



more and more swollen, while the natural folds, especially the ankle 

 fold, become much exaggerated by the swelling on either side, so 

 that deep sulci are formed. The dorsum of the foot becomes 

 swollen and puffy, and is separated by the deep ankle sulcus from 



