«56 
The feet were cleaned, and various patches were treated with 
salicylic, boric, and yellow oxide of mercury ointment respectively. 
Potassium iodide was given internally. 
After twelve days in hospital there was no improvement, and 
he was discharged at his own request, unrelieved. 
Pathological Report (A.R.F.) 
Great overgrowth of epithelium, with a cellular and vascular 
granulation tissue, pushing its way upwards through and between 
the greatly hypertrophied papillae. No purulent process or 
appearance suggestive of Madura foot. It may be a simple chronic 
wart, but the character of the infiltrating tissue beneath reminds 
one of a specific infiltration. 
Case II. PI. XIII, fig. 6. Man aged thirty, admitted August 
4 ) X 9 °S> under Mr. Richards. Four months ago a small painless 
papule, without discharge, appeared on the outer malleolus of the 
left leg, and increased in size. 
I he mass is the size of an egg, oval, raised above the surface, 
hard, papillomatous. The small papillae are of a purplish colour, 
and between them the surface is covered by yellowish crusts. It 
is sensitive to touch, but not painful, even on pressure. 
Similar smaller growths occur on the chest and the right second 
toe, dating two and four months respectively. 
It was tieated for 18 days with liniment and tincture of iodine, 
and showed great improvement, but did not disappear. The 
patient then left hospital at his own request. 
Case III. PI. XII, figs. 3,4. A man aged twenty-five, admitted 
April 23, 1908, under Dr. Phillips, transferred to Mr. Richards 
April 29. 
Ten months ago he noticed rough, red, warty, painless masses 
appearing m front of right ankle and on dorsum of left foot. As 
t iey grew older they became white and encrusted. Four mofith> 
ater t ey began to be painful. No similar case in the district. 
l ^ il f° ot - square papillomatous mass 12 x 11 cm. raised 
2 cm from the surface, over the front of the ankle joint. It is divided 
f 11 \ ree . f 'r ^ transverse clefts extending right through it, 3110 
filled with foul-smelling epithelium. The surface is covered witb 
