[Illustration: FIG. 96.--Tuberculous Elephantiasis in a woman aet. 35.]
On parts of the body other than the face, the disease is even more
chronic, and is often attended with a considerable production of dense
fibrous tissue--the so-called _fibroid lupus_. Sometimes there is a
warty thickening of the epidermis--_lupus verrucosus_. In the fingers
and toes it may lead to a progressive destruction of tissue like that
observed in leprosy, and from the resulting loss of portions of the
digits it has been called _lupus mutilans_. In the lower extremity a
remarkable form of the disease is sometimes met with, to which the term
_lupus elephantiasis_ (Fig. 96) has been applied. It commences as an
ordinary lupus of the toes or dorsum of the foot, from which the
tuberculous infection spreads to the lymph vessels, and the limb as a
whole becomes enormously swollen and unshapely.
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