( 45 )
Heredity.
lobes at the ear thickened ; number of small spots on the cheeks, forehead and below
the lower lip ; no tubercles ; his father and
grandfather had the disease. Has one
sister who is alive, but not affected. Has two wives and four children ; they are all
free from the disease.
TREATMENT.—28.—Commenced with gurjun oil.
Treatment.
October 20.—The ansesthetic discolouration on the abdomen less marked and
discolouration on dorsum of left hand
much less ; can feel when he is touched ;
several small spots on the back have disappeared ; the remaining are not so whitish
as they were before. Thickness of the lobes of ear much less.
VI. SHETK THEEN COWDEE, aged 18; Mussalman ; works at late and image
painting ; father and mother dead ; can give no antecedent history of the disease.
It commenced after the famine. Nasal cartilages depressed at bridge of nose ; face
and ears pretty smooth ; no tubercles. Trunk and extremities discoloured by many
small patches. In the legs the skin is light bluish coloured with small squamous
patches ; big toes are contracted and stunted, both phalanges are gone, left one
reduced to half size. Underneath balls of toes there is deep ulcération which has
been going on for five or six years ; fourth toe of left foot shortened ; fifth toe
thickened; right thumb thickened, contracted and stunted; ends of other fingers
knobby ; nodules also seen on back of phalanges ; two last fingers of left hand
atrophying and becoming contracted. There are abrasions on several parts of the
body ; anæsthesia on back (right side), over left knee and thigh, began in inner side
of knee, also over right thigh.
TREATMENT.—October.—Commenced with gurjun oil.
November.—Much improved by medicine.
VII. BALRAM SINGH, aged 20 ; Rajput ; brick-layer ; born in Cuttack ;
father and mother dead ; three brothers and two sisters alive ; no history of heredity;
had syphilis about a year ago. About a year ago commenced to feel numbness in
big toe of right leg, a stone fell on it and sore arose, which has not healed yet. Ou
under-surface there is a large hollow ulcer ; six months ago commenced to feel numb-
ness in left forearm about elbow. There are patches of light discolouration in upper
arm ; numbness is especially felt along course of distribution of ulner nerve. Slight
discolouration on cheeks ; ears not thickened ; no tubercles anywhere ; upper surface
of right great toe discoloured ; thickened ; numbness extending from it to anterior
surface of leg. On middle of leg there is a light patch of discolouration ; similar
patches on other leg. Watery exudation from parts of body except those that
are numb. There is a light patch on back, size of a shilling, not much anæsfchesia
there.
TREATMENT.—October 19.—Commenced.
Took the oil for one month ; there were symptoms of improvement, but he had
no patience to go on with the medicine, and considered it too troublesome to bathe
every morning, and rub the oil in according to directions.
Heredity in father traceable to children by differ-
ent wives.
VIII. ROBERT SAHOO, aged 30 ; has had leprosy for the past 13 or 14 years.
His elder brother (by stepmother) had
the same disease, and died of it ; his own
mother is alive and well. There are three
other brothers by same father and mother who are alive and well, but at present no
traces of the disease. Has anæsthetic brownish spots all over the body except the
cheeks ; cannot feel when touched ; is also insensible to warm or cold. Ears thick-
ened and tubercled ; nose flattened and thickened, edges cracked ; fingers contracted,
nails lost, thick exudation on the end ; scaly dark rough eruption on both legs which
are completely anæsthetic; the big toe of the left foot lost; others shortened, knobby
and ulcerating. The toes of the right foot shortened, and deep ulcer in the palm
of the right foot. Appetite fair. Bowels regular.
CUTTACK;
The 24th March 1877.
W. D. STEWART,
Civil Surgeon, Cuttack.
MEMORANDUM.
I HAVE been in Bengal and the up-country, and am of opinion that cases of
leprosy are more numerous in Orissa than in Bengal, though not so numerous as in
the up-country, which would seem to be particularly subject to this disease. In
M