[Illustration: FIG. 98.--Elephantiasis of Penis and Scrotum in native of
Demerara.
(Mr. Annandale's case.)]
Belonging to this group also is a form of _congenital elephantiasis_
resulting from the circular constriction of a limb _in utero_ by
amniotic bands.
_Elephantiasis occurring apart from lymphatic or venous obstruction_ is
illustrated by _elephantiasis nervorum_, in which there is an overgrowth
of the skin and cellular tissue of an extremity in association with
neuro-fibromatosis of the cutaneous nerves (Fig. 89); and by
_elephantiasis Graecorum_--a form of leprosy in which the skin of the
face becomes the seat of tumour-like masses consisting of leprous
nodules. It is also illustrated by _elephantiasis involving the scrotum_
as a result of prolonged irritation by the urine in cases in which the
penis has been amputated and the urine has infiltrated the scrotal
tissues over a period of years.
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