JUXTA-ARTICULAR NODULES 



226j 



Brumpt, 1910 — is given in the chapters on fungi (see pp. 1065 and 

 1066). Recently the presence in the nodules and etiological role 



Fig. 888. — ^Juxta- Articular Nodules. 



by many authorities. Several 

 to be a late manifestation of 



of this fungus has been doubted 

 observers consider the condition 

 framboesia. 



Symptomatology. — In the legs 

 and arms, especially in proximity 

 to the articulations, several no- 

 dules are found, some of them the 

 size of a walnut or more, of rather 

 hard consistency, and covered 

 by healthy skin. According to 

 Macgregor, these tumours occur 

 most frequently about the elbows, 

 or the parts of the body coming 

 in contact with the ground when 

 the native is sleeping. These 

 Aodules at first are rather soft, 

 and are situated in the subcuta- 

 neous tissue, and the skin may be 

 moved above them. Later they 

 may, apparently, fuse together, 

 forming hard, large tumours, and 

 adhere to the skin, which gener - 

 ally does not present any alter- 

 ation. Thecourse is very chronic, 

 but occasionally the nodules may 

 disappear spontaneously. 



Treatment. — The nodules may be excised. In the very first, 

 stage of the disease a potassium iodide treatment might be tried. 



Fig. 



\g. MURMEKIASMOSIS 



Amphilaphes. 



