Leprosy : $b in its clinical & pathological aspectsHansen, G. Armauer (Gerhard Armauer)
Science
Leprosy : $b in its clinical & pathological aspects
Hansen, G. Armauer (Gerhard Armauer)
Leprosy
One meets also in old nodules, among apparently only unproductive
elements, blood vessels surrounded by young cells (_Plate VI, Fig. 5_).
This appears definitely to favour the view that the tumour cells are,
at least for the most part, migrated blood corpuscles. These results
have been obtained by examination of fresh nodules, and of those
hardened in Müller’s fluid. As we have recently, while hardening the
nodules in Fleming’s chromic and osmic acid mixture, and staining the
sections with hæmatoxylin, been unable as yet to find any mitoses, and
further, have found, by bacillary staining of an old section from a
corneal node, an appearance like _Plate VI, Fig. 7_, we must maintain
provisionally that in the lepromata the new formations are, at least
chiefly, formed by the immigration of white blood corpuscles. As the
round cells infiltrate the connective tissue, the fibres are pressed
asunder, and form a network closely resembling that of a lymph gland
with nuclei in the angles (_Plate VI, Fig. 6_).
When the nodule softens, which takes place almost always exactly in the
middle, it attains a brownish tint, which is due to the transparent
softened part. If one divides the softened nodule, the central part
has a distinct brown colour, and the constituents of this part readily
fall out. If this is examined under a microscope, one sees, almost
exclusively, larger or smaller clumps of a brownish colour, and very
granular. They are partly elastic, but partly brittle and fragile, so
that by pressure on the cover glass they are easily broken up. One
often sees clearly that the clumps lie _in_ the cells, the nucleus and
the cell substance being still evident (_Plate VII, Fig. 1_). Sometimes
only one lies in a cell, which then has the appearance of a signet
ring, in whose circle the clump lies, but sometimes several lie in
one cell. One finds similar clumps in all other organs affected with
leprosy, as in the liver, the spleen (_Plate VII, Fig. 2_), the nerves,
lymphatic glands, the testicle and the eyes (_Plate VII, Fig. 3_,
which shows two clumps from the retina). In the nodes of the skin, but
particularly in the testicles, one may find them so large that they may
even be seen by the naked eye. Both in the small and the larger clumps
there are usually vacuoles, not infrequently several. From the cornea
we have often got preparations in which the corneal corpuscles are more
or less completely filled with brown granules (_Plate VIII, Fig. 1_).
One sees here definitely the cell nucleus in the middle of the brown
granular material.
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