Leprosy : $b in its clinical & pathological aspects — John Shaqi
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
2.--Very often, possibly
always, the appearance of In the communication of
the hereditary peculiarity is syphilis to children this is
limited to a definite age. unknown.
3.--Atavismus, or the overleaping
of one or several Never known.
generations of the heredity
is very frequent.
Anyone who will maintain that these two forms of conveyance are the
same, and both hereditary, must evidently sacrifice facts.
We hold then, that a specific disease may be conveyed to the children,
but that it is never hereditary; the communication is by infection.
And since we regard leprosy as a specific disease we hold that it
cannot be hereditary. There remains, however, the further question
whether it can be conveyed to descendants by latent germinative
infection. This cannot _a priori_ be denied, although we have no
right to assume it from our knowledge of the lepra bacillus and of
the occurrence of the disease. We have indeed sought above to point
out the possibility that the lepra bacillus is attenuated in the
maculo-anæsthetic form of the disease; but we know of no phenomenon
which would allow us to assume that the bacillus could occasionally
become quite innocuous, and call forth _no_ symptoms of disease.
All this, however, proves nothing against the hypothesis; and it is
always a dangerous thing to use a simple absence of knowledge either to
contradict or to found a hypothesis.
But we think we can supply an almost incontrovertible proof that
Baumgarten’s hypothesis is wrong. It is well known that the Belgian
Father Damien became a leper in the Sandwich islands. If the Father
was of pure Belgian ancestry, and his disease was caused by latent
hereditary bacilli, then these bacilli must have been at least several
hundred years old, unless one assumes that one of his nearer ancestors
had had connection with a leper, and that in this way the Father had
acquired his bacilli. Against this is the explanation that the Father
who tended the lepers on Molokai, with self-sacrificing love, was,
through some want of care or caution, infected as he went in and out
among the lepers. The choice between the two explanations does not
appear to us a difficult one.
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