Modern medicine : its theory and practice, in original contributions by American and foreign authors . the alte nasi, ears, chin, hands and lowerthird of the leg; the buttocks may also be involved. These lesions occurwith a classical bilateral symmetry and are characterized by the almost oliveand red color of the skin involved. The disseminate leprosy tubercle is small, about the size of a pea, hardand round, uniform in size, occurring generally over the body, bilaterallyand symmetrically; the lesions are separated by areas of clear skin anddistinguished from all other tubercles by the waxy wh
Modern medicine : its theory and practice, in original contributions by American and foreign authors . the alte nasi, ears, chin, hands and lowerthird of the leg; the buttocks may also be involved. These lesions occurwith a classical bilateral symmetry and are characterized by the almost oliveand red color of the skin involved. The disseminate leprosy tubercle is small, about the size of a pea, hardand round, uniform in size, occurring generally over the body, bilaterallyand symmetrically; the lesions are separated by areas of clear skin anddistinguished from all other tubercles by the waxy white appearance, as ifwhite wax showed through a dirty brown transparent covering. Almostalways this type of skin leprosy argues the occurrence of like lesions in thethoracic and abdominal viscera, as these cases rapidly become acute andresult fatally in short order. In each of the varieties of skin and nerve leprosy, and especially in theformer, there are periods of quiescence and exacerbation. A striking featurein the periods of exacerbation is the lepra fever mentioned by a number of Vol. 3—9. Leontiasis. Terminal Stage of TubercularLeprosy. (Cooper.) 130 INFECTIOUS DISEASES observers. C. B. Cooper, Chairman of the Committee on Leprosy of theHawaiian Government, has best described this phase of leprosy, although thecondition seems more severe in his locality than elsewhere. He calls thecondition swollen head fever as this was the term given it at the Hawaiiansettlement at Molokai. He describes this as an acute, epidemic, painful,inflammatory leprous fever, in which the head and face become greatlyswollen, and in which the lymphatic and glandular system becomes charac-teristically involved, especially the cervical and sometimes the axillary and inguinal glands as well. He was^^° ^ able to find the leprosy bacilli in the blood during the stage of with this condition isa typical lepra exanthem, differingfrom any of the eruptions abovedescribed. Cooper lays n
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