Weekly medical review . d by Dr. L. M. Perkins, of the Quaran-tine Hospital. Joe Toy, Chinaman, set. 28, single, laun-dryman. No hereditary predisposition toleprosy. During his boyhood he had seen a THE WEEKLY MEDICAL REVIEW. 677 few lepers, but they were not permitted tomingle with non afflicted persons. Patient came to this country 8 years ago,andsettled in Oakland Cal. for two months, thencame on to St. Louis, where he remained forfour years. He then made a two years visitto China. Returning he again made St. Louishis home until sent here March 13. The dis-ease made its appearance during hi


Weekly medical review . d by Dr. L. M. Perkins, of the Quaran-tine Hospital. Joe Toy, Chinaman, set. 28, single, laun-dryman. No hereditary predisposition toleprosy. During his boyhood he had seen a THE WEEKLY MEDICAL REVIEW. 677 few lepers, but they were not permitted tomingle with non afflicted persons. Patient came to this country 8 years ago,andsettled in Oakland Cal. for two months, thencame on to St. Louis, where he remained forfour years. He then made a two years visitto China. Returning he again made St. Louishis home until sent here March 13. The dis-ease made its appearance during his first stayin St. Louis ,about two years after leaving hisnative land. He cannot locate the exact timeof the invasion of the disease. The first ap-pearance was on the dorsum of the great toe,in the form of a very small papule. For atime this appeared to come and go, but ateach retnrn was larger than before. Aboutthe same time the muscles of the right thumbbegan to atrophy, and an eruption to appearon the right His face, body, and all extremities are nowinvolved, the spreading being as follows: Right extremities involved 6 years ago,left lower, 5 years ago, and face and left up-per extremity 2 years ago. The eruption hascaused him no trouble, except on the rightforearm, where for 3 or 4 days there was in-tolerable itching. When this itching ceasedhe noticed that the part was anesthetic. His strength remained good until a fewweeks before he was sent to he has been here his general health hasimproved somewhat. The eruption is stillcomparatively smooth, is in spots and patchessomething similar to ringworm. As the cir-cumference of the spots increases the centerclears up and becomes anesthetic. Needlesmay be thrust deeply into the tissue without giving pain. The ulnar sides of both handsare almost entirely without sensation, and theradial sides are also much impaired in thatrespect. Atrophy of the muscles of thehands, especially of the right, is quite mar


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188