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It may become purulent as a result of infection, and this may be the starting-point of lymphangitis or cellulitis. The skin should be disinfected and the blisters punctured. When infected, the separated horny layer must be cut away with scissors to allow of the necessary purification.

Consequently, lymphangitis may be considered as infectious and non-infectious. Etiology and Occurrence. Traumatisms of the legs frequently result in infection and when such injuries are near lymph glands, even though the degree of infection be slight, more or less disturbance of function of the muscles in the vicinity of such glands occurs and lameness follows.

Nail punctures resulting in infection frequently cause an infectious lymphangitis and a marked and painful swelling of the legs supervenes. Symptomatology. Lameness, mixed or swinging-leg, signalizes the presence of acute lymphangitis. There is always more or less swelling present and manipulation of the affected parts gives pain to the subject.

When the deep lymph vessels alone are involved, the superficial red lines are absent, but the limb becomes greatly swollen and pits on pressure. In cases of extensive lymphangitis, especially when there are repeated attacks, the vessels are obliterated by the formation of new connective tissue and a persistent solid œdema results, culminating in one form of elephantiasis. Treatment.

The primary source of infection is dealt with on the usual lines. If the lymphangitis affects an extremity, Bier's elastic bandage is applied, and if suppuration occurs, the pus is let out through one or more small incisions; in other parts of the body Klapp's suction bells are employed. An autogenous vaccine may be prepared and injected.

Such good results are not to be expected in aged subjects, nor in horses having at the same time, chronic lymphangitis. Where bandages of pure rubber are employed great care is necessary, if one is not experienced in their use, lest necrosis result. Arthritis of the Fetlock Joint. Anatomy.

Streptococci invade the lymph spaces, and are associated with acute spreading conditions such as phlegmonous or erysipelatous inflammations and suppurations, lymphangitis and suppuration in lymph glands, and inflammation of serous and synovial membranes, also with a form of pneumonia which is prone to follow on severe operations in the mouth and throat.

In the average case suppuration does not occur and when conditions are favorable, resolution is complete within ten days. The extent of the involvement and the intensity of the affection vary materially in different cases and a chronic lymphangitis may succeed the acute attacks and finally in some instances, elephantiasis results. Treatment.

Lymphangitis is most frequently occasioned by the introduction of septic material into the tissues; consequently, infectious lymphangitis is more frequently observed than the non-infectious type.

To be able to distinguish between the generalization of a septic infection in its incipiency, and a more or less benign edema, is largely possible by digital manipulation alone. An extremity may be greatly swollen because of the existence of chronic lymphangitis, influenza, or an acute septic infection occasioned by the introduction of pathogenic and aerogenic organisms.