FILARIAL LYMPHANGIECTASIS 



chloridi, Tl\x.-xx., given three times a day, well diluted. Locally, 

 at first lead and opium lotion, and later an ointment, composed of 

 ichthyol and lanoline, gives relief. If an abscess forms, it must 

 be evacuated and treated on ordinary principles. 



FILARIAL ORCHITIS AND HYDROCELE. 



Symptomatology,— This complaint begins with pains in the 

 testicle, fever, and at times rigor, pains in the back and lower part 

 of the abdomen and groins, and bilious vomiting. The testicle en- 

 larges, and is tender and painful, while an effusion forms in the tunica 

 vaginalis of either lymph or chyle. The lymph thrown out is at 

 first inflammatory, and may coagulate, and is usually absorbed 

 after the fever subsides, but may persist and form a filarial hydro- 

 cele. The effusion of chyle is, however, more usually permanent, 

 and forms one of the varieties of chylocele to be mentioned later. 



Treatment. — ^The treatment consists of rest in bed and the applica- 

 tion of lead and opium lotion, and cool applications, together with 

 fairly vigorous purgation of the bowels. 



FILARIAL LYMPHANGIECTASIS. 



Synonyms.— Lymphatic varix. Lymph scrotum. 



Definition. — Filarial lymphangiectasis is the dilatation of lymph 

 vessels brought about by obstruction to the flow of lymph, due to 

 the presence of Filaria hancrofti. 



Remarks. — Filarial lymphangiectasis can, of course, take place 

 in any part of the body, but the most common situations are in the 

 scrotum, where it is called ' lymph scrotum,' in the spermatic cord, 

 in the leg, and in the arm. 



Fig. 714. — Filarial Lymphangiectasis. 



Symptomatology. — In the scrotum the affection begins with an 

 attack of fever, associated with redness, swelling, and pain in that 

 region. When the fever has subsided, the whole scrotum is. found 

 swollen and elastic. It may be smooth or rugose, and on inspection 

 the skin shows a number of small clear vesicles, which, if ruptured, 



