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
Surgical measures are often needed. Section of the cornea, as
introduced by Dr. Boeckmann, in the case of tubers growing into it, has
already been mentioned, as has the operation of tarsoraphia interna in
ectropion of the lower eyelid. Iridectomy has often to be performed,
when the pupil has been obliterated by adhesions of the iris or by
exudation.
Tracheotomy is necessary when the larynx is occluded by leprous-growths
or by cicatrices.
Necrotomies should always be performed when there is necrosis of the
bones of the hands and feet. It is astonishing how well the wounds heal
in the anæsthetic parts, and patients are spared from long-standing
suppuration by the removal of the necrosed bones.
The best remedy for leprosy Dr. Danielssen found in his experience
to be _Salicylate of soda_. If the patients were badly nourished, he
first administered quinine, iron, cod-liver oil, and nutritious food,
and when the patient’s condition was satisfactory he gave 1.0 gramme
salicylate of soda four times daily, and for six months or a year the
dose was gradually increased. Its good effects were seen in both forms
of the disease. In the maculo-anæsthetic form the patches and the
less extensive anæsthesias slowly disappeared. In the tuberous form,
when not of too long duration and severity, the rapidity of progress
was diminished, and fresh eruptions were prevented. A complete cure
has, however, not been attained, unless, at the same time, there have
been applied regularly “cucurbita cruenta,” steam baths, alternating
with warm water and sea-water baths, exercise in the fresh air, good
hygienic surroundings, and good diet. From time to time irritants
were applied, such as, carbolic and salicylic acids, in the form of
fomentations and ointments. It is only in cases in the first six to
twenty-four months that a favourable issue can be hoped for. The
results of the treatment in the Lungegaard’s hospital are nothing to
boast of, but they show, according to Dr. Danielssen, that leprosy at
its commencement can be cured. In our opinion this is true, but with
the reservation that the cure is not due to the treatment, but is the
natural development of the disease. We have seen cases of leprosy, in
the country, both tuberous and maculo-anæsthetic, completely recover
without any treatment whatever. So far as we know, in most of the
patients discharged cured from the Lungegaard’s hospital the anæsthesia
has increased, which is in conformity with the general progress of
the disease, the nerve fibres continuing to undergo atrophy from the
pressure of the contracting inflammatory tissue in the nerve trunks, as
described above.
Public-domain text, read in full here on John Shaqi.
Leprosy : $b in its clinical & pathological aspects — John Shaqi
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