Nervous and mental diseases . GRAY. 399 by bulbar crises. Ulcerations, dystrophic conditions, or infections fromsuch sources may induce a fatal termination. Clinical Forms.—The ordinary form has been in view in the pre-ceding lines. One clinical variety is furnished by Morvans disease. Inthis form the sensory dissociation is marked, especially in the hands andarms, with associated atrophy and paresis. There are mutilations ofthe fingers by successive whitlows and marked cutaneous and arthropathies are usually present. Zambaco insisted thatthis is a form of leprosy, and Prus
Nervous and mental diseases . GRAY. 399 by bulbar crises. Ulcerations, dystrophic conditions, or infections fromsuch sources may induce a fatal termination. Clinical Forms.—The ordinary form has been in view in the pre-ceding lines. One clinical variety is furnished by Morvans disease. Inthis form the sensory dissociation is marked, especially in the hands andarms, with associated atrophy and paresis. There are mutilations ofthe fingers by successive whitlows and marked cutaneous and arthropathies are usually present. Zambaco insisted thatthis is a form of leprosy, and Prus2 demonstrated in such a case abacillus closely resembling that of leprosy. On the other hand, Joffroyand Achard have demonstrated central cord-cavities in Morvans dis-ease, and this is confirmed by The leprosy idea can no longerbe entertained. In both a peripheral neuritis is common, and Prussuggested that the propagation of the leprous bacilli in the cord mightfurnish the irritation that incites the ^1 L / -
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