hs. Lang observed a case in which the
fingers alone were affected.

There is a case of general and habitual desquamation of the skin in the
Ephemerides of 1686; and Newell records a case which recovered under
the use of Cheltenham water for several seasons. Latham describes a
man of fifty who was first seized about ten years previously with a
singular kind of fever, and this returned many times afterward, even
twice in the course of the same year, attended with the same symptoms
and circumstances, and appearing to be brought on by obstructed
perspiration, in consequence of catching cold. Besides the common
febrile symptoms, upon the invasion of the disease his skin universally
itched, more especially at the joints, and the itching was followed by
many little red spots, with a small degree of swelling. Soon after this
his fingers became stiff; hard, and painful at the ends, and at the
roots of the nails. In about twenty-four hours the cuticle began to
separate from the cutis, and in ten or twelve days this separation was
general from head to foot, during which time he completely turned the
cuticle off from the wrists to the fingers' ends like a glove, and in
like manner on the legs to the toes, after which his nails shot
gradually from their roots, at first with exquisite pain, which abated
as the separation of the cuticle advanced, and the old nails were
generally thrown off by new ones in about six months. The cuticle rose
in the palms and soles like blisters, having, however, no fluid
beneath, and when it came off it left the underlying cutis exposed for
a few days. Sometimes, upon catching cold, before quite free from
feverish symptoms, a second separation of the cuticle from the cutis
occurred, but it appeared so thin as to be like scurf, demonstrating
the quick renewal of the parts.

There is a similar case in the Philosophical Transactions in a miller
of thirty-five who was exposed to great heat and clouds of dust. On the
first cold a fever attacked him, and once or twice a year, chiefly in
the autumn, this again occurred, attended with a loosening and
detachment of the cuticle. The disorder began with violent fever,
attended with pains in the head, back, limbs, retching, vomiting, dry
skin, furred tongue, urgent thirst, constipation, and high-colored
urine. Usually the whole surface of the body then became yellow. It
afterward became florid like a rash, and then great uneasiness was felt
for several days, wit