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
Dr. Boeckmann has introduced, in the treatment of the nodules growing
into the cornea, the division of the cornea in front of the nodules;
through the scar formed by the healing of the wound, they hardly ever
grow. We have seen such a case in which, on the one side of the
scar, no actual nodules, but only a clouding appeared, and we were
later able to examine the eye anatomically. The nodule reached like a
rampart close up to the scar, and all its cells were full of bacilli.
On that side of the scar in the clouded part of the cornea, there
were found only a few scattered cells containing bacilli; no vessels
had penetrated the scar, and only a very few cells had succeeded in
making their way through. The treatment is therefore a very desirable
one in order to preserve the pupil free. We have been able to prepare
no bacillary preparations from the _retina_, as we have not seen the
affection since the discovery of the bacilli; the two brown clumps
which are figured in _Plate VII, Fig. 3_, lay in the outer granular
layer of the retina.
As already indicated, the testicles are affected with leprosy in all
nodular cases. The affection is both inter-tubular and intra-tubular.
In a testicle only slightly affected, we found bacilli everywhere in
the endothelium of the vessels, and in several dilated vessels white
blood corpuscles filled with bacilli (_Plate X, Figs. 5_ and _6_);
and in some places also bacilli lying free between the red blood
corpuscles (_Plate X, Fig. 7_). At the same time, and especially where
the affection is more marked, the bacilli penetrate into the seminal
canals, and lie grouped in their walls around the nuclei (_Plate IX,
Figs. 4_ and _5_, _Plate X, Fig. 1_), and their epithelial cells are
more or less filled with them (_Figs. 1, 2_ and _4_).
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