dorsal aspect, including the deltoid regions,
the upper arms, the buttocks, and the thighs, down to and involving the
popliteal spaces. The edges of the indurated skin were sharply defined,
irregular, and map-like. The affected skin was stretched, but not
shiny, and exhibited a pink mottling; it could not be pinched between
the fingers; pressure produced no pitting, but rendered the surface
pale for a time. The induration upon the buttocks had been noticed
immediately after birth, and the region was at first of a deep pink
color. During the first nine days the trouble had extended to the
thighs, but only shortly before the examination had it attacked the
arms. Inunctions of codliver oil were at first used, but with little
improvement. Blue ointment was substituted, and improvement commenced.
As the induration cleared up, outlying patches of the affected skin
were left surrounded by normal integument. No pitting could be produced
even after the tension of the skin had decreased during recovery. The
lowest rectal temperature was 98 degrees F. In a little more than four
months the skin became normal. The treatment with mercurial ointment
was stopped some time before recovery.

Possibly the most interesting of the examples of skin-anomaly was the
"elephant-man" of London. His real name was Merrick. He was born at
Leicester, and gave an elaborate account of shock experienced by his
mother shortly before his birth, when she was knocked down by an
elephant at a circus; to this circumstance he attributed his
unfortunate condition. He derived his name from a proboscis-like
projection of his nose and lips, together with a peculiar deformity of
the forehead. He was victimized by showmen during his early life, and
for a time was shown in Whitechapel Road, where his exhibition was
stopped by the police. He was afterward shown in Belgium, and was there
plundered of all his savings. The gruesome spectacle he presented
ostracized him from the pleasures of friendship and society, and
sometimes interfered with his travels. On one occasion a steamboat
captain refused to take him as a passenger. Treves exhibited him twice
before the Pathological Society of London. His affection was not
elephantiasis, but a complication of congenital hypertrophy of certain
bones and pachydermatocele and papilloma of the skin. From his youth
he suffered from a disease of the left hip-joint. The papillary masses
developed on the skin of the back, buttock,