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
Leprosy appears in two forms, which are clinically pretty sharply
distinguishable, and were named by Danielssen and Boeck “nodular”
and “anæsthetic.” This nomenclature, introduced by these authors in
their pioneer work, _Om Spedalskhed_, Christiania, 1847, _Traité de la
Spedalskhed_, Paris, 1848, is so far important as it characterizes the
common and most prominent symptoms of the two forms, viz., in the one,
the nodular eruption on the skin, in the other, the anæsthesia which
results from the widespread affection of the nerves. On the other hand,
regarded from a strictly scientific standpoint, the nomenclature is
scarcely the happiest: firstly, because the one form is named from the
eruption on the skin, and the other from the results of the affection
of another organ, the nerves; and secondly, because the nerves are
affected in the nodular as well as in the other form, though the result
of the affection, the anæsthesia, does not so dominate the appearance
of the disease.
As Danielssen and Boeck recognised, skin eruptions are present in both
forms, and since, as we shall later point out, the eruptions differ
both clinically, and also somewhat in their anatomical formation, it
would perhaps be more strictly correct to describe the two forms as
Lepra tuberosa (tuberculosa) and Lepra maculosa or lævis. But, in the
first place, it is of questionable advantage to change a universally
accepted nomenclature; and secondly, it is very frequently the case
that one sees the patient for the first time after the disappearance
of the macular eruption with anæsthesia only, so that the name Lepra
anæsthetica exactly describes the case. But in order to give to
the skin eruption in the anæsthetic form its proper place in the
nomenclature we will describe the two forms of the disease as _Lepra
tuberosa_ (tuberculosa), and _Lepra maculo-anæsthetica_. And thus we
hope to have done justice both to the founders of the scientific study
of Leprosy, and to the clinical appearances of the disease.
Public-domain text, read in full here on John Shaqi.
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