An American text-book of genito-urinary diseases, syphilis and diseases of the skin . Elephantiasis Hebrse-orum; Satyriasis; Leontiasis; Spekalshed (Norweg.), Radesyge {ibid.); LaLepre (Fr.); Zaraath (Heb.); Ophiasis; Leprose (Ger.), Aussatz (ibid.). Definition.—Leprosy is an endemic constitutional contagious disease ofmalignant type, characterized by alterations of the cutaneous, nerve, and bonestructures, resulting in anesthesia, ulceration, necrosis, atrophies, and deform-ity. Leprosy is a well-defined affection due to the development in the economyof a special bacillus. Symptoms.—Leprosy i


An American text-book of genito-urinary diseases, syphilis and diseases of the skin . Elephantiasis Hebrse-orum; Satyriasis; Leontiasis; Spekalshed (Norweg.), Radesyge {ibid.); LaLepre (Fr.); Zaraath (Heb.); Ophiasis; Leprose (Ger.), Aussatz (ibid.). Definition.—Leprosy is an endemic constitutional contagious disease ofmalignant type, characterized by alterations of the cutaneous, nerve, and bonestructures, resulting in anesthesia, ulceration, necrosis, atrophies, and deform-ity. Leprosy is a well-defined affection due to the development in the economyof a special bacillus. Symptoms.—Leprosy is a chronic disease, lasting years and seldomspontaneously recovering. The bacillus leprce in its development gives riseto neoplasms or, as Leloir calls them, lipromes. When these neoplasms aredeveloped in the skin or mucous membranes they give rise to the tubercu-lar type, or cutaneous leprosy. When the neoplasm involves the nervesespecially, the result is the type known as nerve-leprosy or trophoneuroticleprosy, or the anesthetic variety. 11raite de la Lepre, 1886. Plate Macular stage of leprosy (Chatelain). LEPROSY. 1049 These are essentially the two clinical divisions of the disease, although athird variety is sometimes described, the macular. This, however, is only astage in the development of either the tubercular or the trophoneurotic it is most often the precursor ofthe latter type, this is by no means invari-able. It is not uncommon for the two varieties to appear concurrently, givingrise to the mixed or complete type of the disease. So intimately, in fact,are the processes of leprosy blended that it is only for clinical purposes that anydivision at all is made, the pathology being identical in all stages and in alltypes. This is evident in the frequent disappearance of either one or theother type, followed by its congener, which in turn may become involutedand be substituted by the first or former type. Preceding the characteristic clinical determi


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