edical description of
the case on record, but the photograph is deemed worthy of reproduction.

Terry describes a French mulatto girl of eleven whose left hand was
enormously increased in weight and consistency, the chief enlargement
being in the middle finger, which was 6 1/2 inches long, and 5 1/2
inches about the nail, and 8 1/2 around the base of the finger. The
index finger was two inches thick and four inches long, twisted and
drawn, while the other fingers were dwarfed. The elephantiasis in this
case slowly and gradually increased in size until the hand weighed 3
1/2 pounds. The skin of the affected finger, contrary to the general
appearance of a part affected with elephantiasis, was of normal color,
smooth, shiny, showed no sensibility, and the muscles had undergone
fatty degeneration. It was successfully amputated in August, 1894. The
accompanying illustration shows a dorsal view of the affected hand.

Magalhaes of Rio Janeiro reports a very interesting case of
elephantiasis of the scalp, representing dermatolysis, in which the
fold of hypertrophied skin fell over the face like the hide of an
elephant, somewhat similar in appearance to the "elephant-man." Figure
279 represents a somewhat similar hypertrophic condition of the scalp
and face reported in the Photographic Review of Medicine and Surgery,
1870.

Elephantiasis of the face sometimes only attacks it on one side. Such
a case was reported by Alard, in which the elephantiasis seems to have
been complicated with eczema of the ear. Willier, also quoted by Alard,
describes a remarkable case of elephantiasis of the face. After a
debauch this patient experienced violent pain in the left cheek below
the zygomatic arch; this soon extended under the chin, and the
submaxillary glands enlarged and became painful; the face swelled and
became erythematous, and the patient experienced nausea and slight
chills. At the end of six months there was another attack, after which
the patient perceived that the face continued puffed. This attack was
followed by several others, the face growing larger and larger. In
similar cases tumefaction assumes enormous proportions, and Schenck
speaks of a man whose head exceeded that of an ox in size, the lower
part of the face being entirely covered with the nose, which had to be
raised to enable its unhappy owner to breathe.

Rayer cites two instances in which elephantiasis of the breast enlarged
these organs to such a degree that t