[199] This complication was not so common as to be regarded as
a constant and pathognomonic sign of Greek elephantiasis, but
it is noted as an important and frequent one, by various
authors, both ancient and modern. Hally-Abbas tells us, in our
diagnosis of a case of the disease, to be particular in
examining “album oculorum ne forte turbatum est” (Lib. i. cap.
xxiv.); Rhazes attributes great value as a diagnostic mark of
his Juddam or elephantiasis to the “conturbatio albedinis
oculorum” (Lib. v. cap. cxx.); Avicenna, among his incipient
signs, states “et apparet in oculis obfuscatio ad rubedinem
declivis” (Lib. iv. Fen. iii. Fr. 3, cap. ii.) Not to multiply
examples, I may merely mention that Theodoric, in the
thirteenth century, places early among his list of signs
“oculorum in albedine lividitas” (Lib. iii. cap. lv.); see also
Lanfranc (Doct. i. Tr. iii. c. 7, albedo oculorum obfuscator);
Arnald of Villeneuve (Brev. ii. c. 46, multum rubeae); Gilbert
(Lib. viii. oculi circulos habent rubros), etc. Dr. Heberden,
in his account of the tubercular leprosy in Madeira, states, in
regard to a case, “that the confirmed elephantiasis was
attended with _livid_ and scirrhous tubercles, which had
overspread the face and limbs; the whole body was emaciated;
the eyebrows inflated; the hair of the eyebrows fallen off
entirely; the bones of the nose depressed; the _alae nasi_
tumefied, as likewise the lobes of the ears; _with a suffusion
in both eyes_, which had almost deprived the patient of sight,”
etc.—_Medical Transactions of the College of Physicians_, vol.
i. p. 35.
[200] I give the term “livid” as synonymous with the old Scotch
term “haw,” under the idea that it expresses in all
probability, as nearly as possible, the meaning of the author.
The Scottish writer Gawin Douglas renders the Latin adjectives
“caeruleus” and “glaucus,” by the adjective “haw,” in his
celebrated translation of “The xiii. bukes of Eneados of the
famose poet, Virgill, out of Latyne verses, into Scottish
meter.” For the occasional livid colour of the lumps or
tubercles in the face, see the extract in the preceding note
from Dr. Heberden, and the modern descriptions quoted in a
previous page from Bateman and Schedel.
Public-domain text, read in full here on John Shaqi.
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