MALADIE DU COIT. 
343 
Eruptions .—“At this time there appears on the mucous mem¬ 
brane of the vagina, vulva and clitoris, small miliary pustules, 
which soon become little superficial ulcers, no more than one-fifth 
of an inch in diameter. These ulcers are not long in cicatrizing 
but they are replaced by others, which, like the first crop, are most 
numerous in the fossa navicularis, on the clitoris, and near the 
margin of the vulva; the symptoms are intermittent, disappearing 
for some days and again manifesting themselves, in the majority 
of cases becoming milder, until they finally disappear.”—(Fleming.) 
Unfortunately we have not enjoyed the privilege of seeing 
cases of less than several weeks standing, but in none of these have 
we seen the pustules and ulcers above described, nor have we noticed 
any changes or appearances in the parts that would suggest the 
prior existence of such eruptions, neither can we learn from the 
many intelligent horse-breeders, who have had abundant oppor¬ 
tunities for close observation, that such eruptions have occurred 
to that marked extent described by Fleming and others in the 
present outbreak; and since Fleming, as previously quoted, de¬ 
scribes these pustules and ulcers as occurring more particularly in 
the so-called benign form, we may well doubt, if not wholly deny, 
the occurrence to any marked extent of any such eruptions in the 
affection under consideration, especially when we remember that 
such eruptions do occur in abundance in the benign venereal 
disease, with which English authors so hopelessly mix the true 
equine syphilis. 
If any eruptions at all have occurred in the present outbreak 
they have been entirely within the vagina, very few in number and 
of very brief existence, and not generally noticeable to an ordi¬ 
narily close observer. 
The swelling of the lips of the vulva is intermittent and varia¬ 
ble, extending sometimes downwards along the perinseum to the 
mammary region (udder) and is occasionally more marked in one 
lip of the vulva than in the other, giqing it a deformed appear¬ 
ance. The mucous membrane of the vagina is red, swollen and 
wrinkled, appearing unnaturally rough to the eye. English 
winters describe the frequent occurrence on the external surface of 
the lips of the vulva, on the perinseum and inner face of the 
