Leprosy in India : a report / by T.R. Lewis and D.D. Cunningham.

  • Lewis, T. R. (Timothy Richards), 1841-1886.
Date:
1877
Catalogue details

Licence: Public Domain Mark

Credit: Leprosy in India : a report / by T.R. Lewis and D.D. Cunningham. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    however, to be regarded as a relative one only, founded on predominance of symptoms. The cases classed as anaes- thetic were invariably, or almost invariably, comparatively pure cases of this form; but in advanced cases of tuberculated leprosy, the phenomena are very rarely, if ever, dissociated from more or less pronounced symptoms of anaesthesia, so that they might generally be included under the heading of mixed cases. Still the one condition was so much more strongly marked than the other, that it appeared warrantable and conducive to clearness to retain them under a distinct heading. The same holds in regard to those classed as eruptive, the very small proportion of which cases is noteworthy, and is probably, in part at all events, to be ascribed to the fact that patients do not generally present themselves for admission until the disease has lasted for some time, and until, in consequence, eruptive symptoms have disappeared, or have been obscured by the development of ansesthetic or tuberculated phenomena. This is the more probable as, in the vast majority of cases, the patients sulfering from advanced tubercular or ansesthetic symptoms described their disease as having commenced with the occurrence of an eruption. Whilst at Almora we endeavoured to select typical exam- ples of the two leading forms of The accompanying illustrations. i p n ^ -n leprosy tor the purpose oi liius- trating their more prominent features. Several such cases were photographed, but we have thought that three would be sufficient for our present purpose. Reproductions of these are appended to the present report. Speaking generally, the plates may serve as illustrations both of the ansesthetic and tuber- piates an . culatcd forms of the disease. The eruption presents a prominent feature in the case which we selected of the former (Plate I), especially on the dorsal surface of the trunk; but numerous little nodular elevations may also be observed when the photograph of the chest of the same individual is closely examined (Plate II). It will also be remarked that almost complete absorption of the fingers has taken place. In the figures of the third plate the tuberculated feature is the leading characteristic. Plate III, Figures 1 and 2. j,.^^^^ ^ ^^^^^^ ^represents an almost typical instance of the Leontiasis of the Ancients. The lips are thickened; the skin of the forehead is thrown