514 
Bulletin de la Société de Pathologie exotique 
irritation on his hands, and on his feet and legs just above the 
shoes. The éruption on these parts of the body began as small 
red papules which increased in size until neighbouring papules 
coalesced and thus formed large swollen red areas. Nextmorning 
his hands and legs were swollen, red and itching and he coin- 
plained of headaehe and pain in his epigaslric région and had 
no appetite, but there was no fever, and he was not il! enough 
to stop his vvork. 
On the 20 th. his lips, lobules of the ears, and eyelids were 
red and swollen, and the itching was now so intense that relief 
could only be obtained by scratching until the skin was woun- 
ded and sérum exuded. About this time discrète red papules 
appeared upon his chest and he noled that the éruption was 
similar to that from which he had previously suffered but much 
more severe. 
He remained in this district and continued to work in the rue 
but his legs became more and more swollen especially below the 
knees, his hands remained swollen and his headaehe continued 
as did his loss of appetite. His lips cracked and oozed but he 
considers that his face became slightly less swollen. A t this time 
the glands in both groins and under the jaw became enlarged. 
On the mornînsr of the 25th. he left Ganelti havin°r worked 
O CD 
there for 8 days and that evening for the first time during this 
period he felteasier. 
Next morning he was distinctly better, the headaehe had enti- 
rely disappeared and he had a good appetite for his food but his 
eyelids, face, hands and legs were still swollen. 
After this, despite the fact that he applied no medical treat- 
ment whatever to the éruption, he gradually got well. Thus by 
the 28 th. the itching had gone, and by the first of April most of 
the signs and symptoms had disappeared except the scratches, 
the enlarged glands in the groin and some little redness and 
swelling of the legs. On this morning he had to take a very long 
walk and next day his feet and legs were again swollen, itching 
and reddish but these symptoms rapidly disappeared and on 
april 4 th. he was quite well except for a slight patchy blush on 
his legs which disappeared finally in another two days. 
Diagnosis. — The patient arrives at Ganelti where Haplophijl- 
lum tuberculatiini is growing in gréai abuudance and begins and 
