I have already taken occasion to speak of the leprosy of the middle
ages, as identical with the species of cutaneous disorder, which has
been variously denominated the tubercular leprosy, (_Lepra
tuberculosa_); the leprosy of the Arabians (_Lepra Arabum_); and the
elephantiasis of the Greeks (_Elephantiasis Græcorum_). The particular
form of chronic cutaneous disease, to which these different appellations
have been severally applied, is an affection very distinctly marked in
its more leading symptoms and course. Before, however, attempting to
prove that the European and British leprosy of former times was
specifically identical with the malady in question, it will expedite our
investigation of the question if, in the first instance, we obtain a
precise and perfect picture of the tubercular or Arabian leprosy itself.
By adopting this plan, we shall have placed before us a standard, as it
were, by which we can judge of and test those more or less imperfect
descriptions of the leprosy of the middle ages, which we may in the
sequel have occasion to quote and animadvert upon. And in order to
obtain such a standard of comparison as we have now in view, and that
without any possibility of prejudging the subject, I shall cite the
description of this species of disease from Dr. Bateman of London, and
Dr. Schedel of Paris;—from the first, because the characters which he
has given of this and other cutaneous affections are generally and
justly looked upon by British pathologists as the most clear and
distinct that can anywhere be referred to;—and from the last, because
his account of tubercular leprosy is, I believe, the latest that has
issued from the medical press, and the author has already, by a former
work,[144] distinguished himself by the excellence of his descriptions,
and the precision of his diagnosis of cutaneous diseases.
MODERN DESCRIPTIONS AND DEFINITIONS OF TUBERCULAR LEPROSY.
“The elephantiasis,” says Dr. Bateman[145] “(as described by the
Greeks), is principally characterised by the appearance of shining
tubercles, of different sizes, of a dusky red or livid colour, on the
face, ears, and extremities; together with a thickened and rugose state
of the skin, a diminution or total loss of its sensibility, and a
falling off of all the hair, except that of the scalp.
Public-domain text, read in full here on John Shaqi.
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