BLASTOMYCOSIS 



IS 



are affected, which is of rare occurrence, they may present histo 

 logically a tubercular appearance. 



Symptomatology. — ^The disease, as seen by us in Ceylon 

 characterized by the presence of elevated warty patches ^showing, 

 especially at their margins, 

 minute epidermal abscesses, 

 and often small ulcers 

 covered by yellowish crusts. 

 The eruption may be gyrate. 

 The lesions at a later stage 

 may become more deeply 

 ulcerated, the process of 

 ulceration generally begin- 

 ning at their centre. There 

 is very little or no pain, 

 and very slight or no pruritus. 

 The lesions may heal spon- 

 taneously, leaving, as a rule, 

 soft, smooth scars. Occa- 

 sionally the affection recom- 

 mences after a time in the scar. The lymphatic glands are not 

 often involved. In some cases subcutaneous abscesses and grmma- 



FiG. 832. — Blastomycotic Ulcer. 

 (From a photograph by Splendore.) 



Fig. 833. — Blastomycosis Glutealis. 

 (From a case in the Colombo Clinic.) 



like sweUings may be formed. All regions of the body may be 

 affected. The course is very chronic, the disease lasting often for 

 many years. 



