JAMA. 1933;100(22):1754-1758. doi:10.1001/jama.1933.02740220020007.
Text Size: A A A
Published online

Ten years after Fehleisen1 isolated the streptococcus from the skin lesions of erysipelas, Sabouraud2 obtained cultures of streptococcus from patients with recurrent erysipelas and elephantiasis. Subsequent pathologic studies of the diseased tissues convinced both Sabouraud and Unna3 that the edema and fibrosis which they found in the microscopic sections were not the result of circumscribed obstruction to the lymphatics, as in filarial elephantiasis, but to local changes in the tissues. Although they disagreed in some particulars regarding the mechanism underlying the pathogenesis of the edema and fibrosis, they agreed that repeated streptococcic infections which kept the cells bathed in the products of bacterial disintegration that were not adequately drained away were responsible for the pathologic condition. While Sabouraud attributed the hypertrophy solely to streptococcic infection, instances of chronic or recurrent infections with staphylococcus4 as well as streptococcus5 causing similar edema and fibrosis have been reported


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.