RARER NODULAR AND GUMMATOUS AFFECTIONS 



2107 



the size of a pea to a small egg. The nodules had a central crateri- 

 form opening, from which some pus exuded. 



Diagnosis. — This is based on cultivating the fungus from the 

 lesions. 



Treatment. — This is surgical, but first potassium iodide might be 

 tried. 



Gladosporiosis. 



Definition. — A nodular condition due to Cladosporium penicilloides 

 Gueguen, 191 1. 



Remarks. — ^There is another tropical condition due to a fungus 

 of the genus Cladosporium — -viz., tinea nigra — ^but this affection 

 is clinically so different that we do not give it under the heading 

 Gladosporiosis. We have given a separate description of it (see 

 p. IIOl). 



Historical. — Fontoynont isolated the fungus from a case in Mada- 

 gascar. Gueguen placed it in the genus Cladosporium and named it 

 C. penicilloides Gueguen, 1911, and Verdun called it C. madagas- 

 cariense Verdun, 1913 [vide pp. iioo and iioi). 



Symptomatology.- — In the only case so far known, that of Fon- 

 toynont, gummatous nodules were present on the leg, some of which 

 slowly ulcerated. 



Treatment. — Potassium iodide has apparently very little efficacy 

 in this condition. 



Scopulariopsosis. 



This condition is due to Scopulariopsis hlochi Matruchot, 1 9 1 1 , and S. koningii 

 Vuillemin, 19 12. Two cases have been reported so far from France. The 

 patients presented gummata and verrucose patches on the skin. Lymphan- 

 gitis was noted in one case. The diagnosis is based on finding culturally 

 the fungi. The treatment consists in giving large doses of iodides. 



It is to be noted that Pinoy and other authorities doubt the pathogenic 

 role attributed to S. blochi. 



REFERENCES. 



Tropical Dermatomycoses. 



Adamson (1908-1912). British Journal of Dermatology. 

 Boucher (1918). Bull. Soc. Path. Exot., April. 

 Brooke (1908). Manual of Tropical Medicine. 



Castellani (1905-1919). Various papers in British Medical Journal, Journal 

 of Tropical Medicine,. Transactions of the Royal Society of Medicine, 

 Transactions International Congresses of Dermatology, New York and 

 Rome, Ann. Med. Navale, Archiv. f. Dermatologie u. Syphilis. 



Chalmers and Marshall (1914) and (1915), and Chalmers and Macdonald 

 (1916). Journal of Tropical Medicine and Hygiene. 



Crocker (1905). Skin Diseases. 



Crocker (1908). The Journal of Cutaneous Diseases. 

 De Beurmann and Ramond (1903). Annales de Dermatologie. 

 De Beurmann and Gougerot (1906). Annales de Dermatologie. 

 DoRE (1915). British Journal of Dermatology. 

 Graham-Little (1915). British Journal of Dermatology. 

 Greig AND Maitra (1918). Indian Jour. Med. Res., January. 

 Jeanselme (1907). Dermatologie Exotique. Paris. 



