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XL] therefore—chyle on its way to enter the circulation by a retrograde compensatory track. When the varix involves the integuments of the scrotum, the result is "lymph scrotum"; when most prominent in the groin, then a condition of glands is produced which I have called "varicose groin glands"; when the lymphatics of the bladder or kidneys are affected and rupture from over-distension, then chyluria is the result; when those of the tunica vaginalis rupture,



then there is chylous dropsy of that sac—"chylocele"; the same may happen in the peritoneum—chylous ascites. Occasionally varicose lymphatic glands, resembling those frequently encountered in the groins, are found in the axilla. Occasionally, also, limited portions of the lymphatic trunks of the limbs are similarly and temporarily, or more permanently, distended. This, doubtless, is the pathology of all those forms of filarial disease characterized by visible varicosity of