Page:Tropical Diseases.djvu/203

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SYMPTOMS
171

affected with their special trypanosomes, in addition to fever and physical lethargy, papular and pustular eruptions are not uncommon; and in man, especially in negroes, an exceedingly itchy papular eruption is a

Fig. 48.—Rash of human trypanosomiasis. (From photo by R. McKay.)

common symptom. In the European, and possibly in the negro, but in the latter in consequence of his colour not so evident, extensive skin areas are affected with a fugitive, patchy, frequently annular erythema (Fig. 48), usually most evident on the chest and back, but also very often on the face and elsewhere. This erythema