Page:EB1911 - Volume 08.djvu/947

 February 1884 was definitely elected for the presidential period terminating in 1888. Several revolutionary outbreaks occurred during the Caamaño administration, but were successfully suppressed. In 1888 Dr Antonio Flores succeeded Caamaño, the four years following being passed in peaceful conditions. In 1892 Dr Luis Cordero was elected, his administration again plunging the country into an epoch of internal disturbance.

The cause of the troubles under President Cordero was the assistance lent by Ecuador to Chile in the matter of the sale of the cruiser Esmeralda to the Japanese government in 1894, in the middle of the Japanese-Chinese War. The government of Chile arranged the sale of the Esmeralda, but wished to be free from all danger of international complications in the affair. To this end the transfer of the vessel was made to Ecuador, and she proceeded to Ecuadorian waters. On arriving at the Galapagos Islands the flag of Ecuador was replaced by that of Japan and the vessel handed over to the representatives of that nation sent for the purpose. When the part played by President Cordero in this transaction became known, an outburst of popular indignation occurred. An insurrection, headed by General Eloy Alfaro, followed; and after desultory skirmishing extending over a period of nearly a year the government forces were finally routed, President Cordero abandoning his office and escaping from the country.

General Alfaro then assumed dictatorial powers as supreme chief of the nation, continuing in this capacity until the 6th of February 1897, on which date he was declared to be elected president of the republic. A series of revolutionary movements against the administration of President Alfaro occurred in the course of the next few years. Many of these risings were due to the intrigues of the Church party, and in view of these circumstances President Alfaro curtailed the influence of the clergy in several directions. On the 31st of August 1901 General Alfaro peacefully handed over the presidency to his elected successor, General Leonidas Plaza.

General Plaza continued the anticlerical policy of his predecessor. Civil marriage and divorce were introduced, and in 1904 all religions were placed on a position of equality in the eye of the law, and the foundation of new monasteries and convents was forbidden. The final year of Plaza’s tenure of office was marked by a still stronger measure, all the property of the church being declared to be national property, and let to the highest bidders. In 1905 the Opposition made an effort to effect a change of policy, and were successful in obtaining the election of Lizaro Garcia, a well-to-do merchant and a director of the Banco commercial y Agricola. General Alfaro, however, appealed to arms, ejected Garcia from office, and made himself ruler with practically dictatorial powers.

The more recent history of Ecuador would not be complete without a reference to the work of Mr Archer Harman (b. 1860), an American railway builder and financier whose connexion with the construction of the Guayaquil and Quito railway began in 1897. To his personal energy and enterprise, as manager of the railway company, was largely due the continued prosecution of this difficult engineering undertaking, in connexion with which he was responsible for a thorough reconstruction of Ecuador finance. He thus came to exercise a powerful influence on the internal progress of the country.

 ECZEMA (Gr. , a cutaneous eruption), one of the most common and important of all skin diseases, consisting of a catarrhal inflammation of the skin originating without visible external irritation, and characterized in some stage of its evolution by a serous exudation. This definition excludes all those forms of inflammation of the skin (dermatitis), which though they may be identical in course and manifestation are yet caused by chemical or mechanical irritants. For an attack of eczema two conditions are necessary: a predisposition or special irritability of the skin, and a directly exciting cause. The first of these conditions is usually inherited or depends on some underlying constitutional state. Thus any organic lesion which may produce oedema and malnutrition of the cutis and epidermis as in kidney diseases, any condition of imperfect metabolism as in dyspepsia or malnutrition, or seborrhoea, may be the predisposing cause. Another influence that has received increasing attention from skin specialists is that of any nervous shock or prolonged mental strain. A “chill” is followed in most people by an ordinary cold, but in some by an attack of eczema. Again, it may be caused by reflex nervous irritation from the uterus, stomach, &c. In some women it always accompanies menstruation, and in others pregnancy. It is of common occurrence in infancy, being attributed by some specialists to dentition, but by others to seborrhoea. Also there is an undoubted relationship between eczema and certain forms of functional neurosis, of which perhaps asthma is the most striking illustration, some physicians considering the latter trouble to be eczema of the bronchial tubes. Sufferers from rheumatism and gout are also specially prone to eczema, though the exact relationship is a much disputed point. There are yet other cases that are undoubtedly microbic, but the micro-organism cannot produce the lesion unless the soil is suitable. As a rule it is not contagious, though when complicated by micro-organisms it may be auto-inoculable, or more rarely inoculable from one patient to another. Except between the ages of ten and twenty years when menstruation is becoming established, and again at the menopause, males are more liable to be attacked than females. In old age the sex influence is lost.

An attack of eczema is usually described as acute or chronic, but the only distinction lies in the greater or less intensity of the inflammation at the time of description: it has nothing to do with the length of time that the disease has lasted. The illness usually begins with a feeling of itching and burning at the site of the lesion. The skin becomes covered with an erythematous blush, on which numerous tiny vesicles form. Swelling, heat, redness and tension are all present. The vesicles grow larger, run together, and either burst or are broken by the patient’s scratching, a clear fluid exuding which stiffens linen. The discharge does not dry up at once, but continues to exude—hence the name of “weeping eczema” when this is a prominent symptom. In mild cases the symptoms begin to subside in a few days, the exudation growing less and scales and scabs forming, under which new skin is formed. But where the attack is more acute fresh crops of vesicles spring up and the process repeats itself. In some cases papules are the predominant lesions, but in others, especially when the face is attacked, the erythematous condition is more marked. A severe attack of eczema is usually accompanied by some slight constitutional disturbance, but the general health seldom suffers appreciably, unless, as occasionally, the itching is so bad as to make sleep impossible. The irritation and local heat may be out of all proportion to visible changes in the skin, and in neurotic patients the nervous excitement may be extreme. The attack may centre itself on any part of the body, but there are certain places where it more usually begins, such as the bends of the elbows, the backs of the knees and the groins; the groove behind the ears, the scalp, the palms or the soles, and the breasts of women. According to its position the form of the eczema is somewhat modified. On the front of the legs and arms, from the uniform redness it exhibits in these positions, it is known as eczema rubrum. On the scalp it is generally of the seborrhoeic type, and in children, especially when pediculi are present, it will become pustular from microbic infection. On the palms and soles it brings about a thickening