CHYLURIA.
The presence of chyle in the urine gives it an appearance as if emulsified oil had been mixed with it. It occurs with or without known reason. Sometimes it co-exists with lesions like lymph scrotum, etc.; at other times it seems to neither produce nor be accompanied by other disturbances. Ordinarily the urine or the blood when examined at night—i. e., the sleeping hours-will reveal the pathogenic organisms, i. e., filariæ. It is a condition but little influenced by treatment, which should be symptomatic in the absence of special indications.
MACROMELIA.
The more typical congenital forms of occlusion of lymph vessels produce such changes as we see, for instance, in macrochilia, where the lips and cheeks are affected; macroglossia, where the tongue is too large to be retained inside the mouth; and sometimes macrodactylia and macropodia, where the fingers and hands or toes and feet are involved ([Figs. 190] and [191]). It is difficult to separate some of these cases from gigantism, as already stated. The more distinctive lymphatic lesions are frequently accompanied by pigmentary, cutaneous, or papillomatous conditions, which stamp them as something more than mere expressions of disproportionate growth. The patient of Dr. Gerrish, whose condition is illustrated in [Fig. 190], presented lesions which might be assigned to either of these groups. It will usually require a careful study to make a proper assignment of such cases as macromelia.
Fig. 190
Fig. 191
Macromelia. (Gerrish.)
Macroglossia. (Neisser.)