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general indisposition, For the first six months the spots were red and tingling,
and they afterwards became white, hairless and insensible to touch, but not to
pain ; the cuticle over the spots also became wrinkled and dry.
Present symptoms,\st March 1875.—Skin spots of the size and characters
mentioned in the previous history exist on the trunk and extremities. Those on
the hands and legs are hairless. Both ears and a spot on the forehead are red
and anæsthetic. The lower extremities are slightly swollen, and feel heavy, but
preserve their symmetry. Touch sensation absent below the knees ; soles of the feet
dry and furrowed ; no tubercles ; no disease of internal organs ; eats heartily ; sleeps
well; urine not albuminous. Put on gurjun oil treatment on 1st March 1875.
On the 1st July 1875 skin spots on upper and lower extremities of
natural colour, sensible to the touch, and covered with hair ; urine non-albuminous.
On the 28th September 1875 this man returned to his home. The swelling
and feeling of heaviness in both lower extremities had gone ; the ears, legs
and skin of the forehead had regained normal appearance and sensation, and his
general health had much improved.
CASE No. 2.
SOOKNIDIIAN, caste Koree, aged 32 years, inhabitant of village Sumna Bhir,
Sultanpur District, of good bodily development, with non-tuberculated leprosy,
applied for treatment at the Rai Bareli Dispensary on the 1st June 1875.
Previous history.—No history of hereditary taint ; never had syphilis. Has
a younger brother, a wife and two sons, all healthy. Says he was all right till
about three years ago, when small patches of discolouration appeared all over the trunk
and extremities. The patches were not insensible to touch. About six months
ago swelling and anaesthesia of the extremities commenced, preceded by a sensation
of tingling.
Present symptoms.—Skin universally rough and brownish ; circular discoloured
patches here and there over the body, they are more numerous on the back. These
patches retain sensation, but have no hairs. Swelling, heaviness and anæsthesia of legs,
outer aspects of thighs and of upper extremities up to elbows. No other part
of the body insensible to touch. Dorsum of hands slightly atrophied, presenting
shallowness with prominence of the extensor tendons. Fingers slightly unequal
in symmetry, nails healthy ,• nails of toes horny and rough ; soles of feet smooth and
not cracked ; a white cicatrix of a burn over innerside of left ankle-joint ; a small
round ulcer over dorsum of left foot at the second and third metatarsal bones, the
result of a thorn piercing through the part ; no tubercles anywhere. Appetite good ;
sleeps well at night. No albumen in urine. Internal organs healthy. Put on
gurjun oil treatment on 1st June 1875.
1st August.—Swelling, heaviness and an anæsthesia of right upper and lower
extremities gone ; ulcer on dorsum of left foot healed ; general health improved ;
urine non-albuminous. Continue treatment.
1st April 1876.—All ulcers healed, and there is not any anæsthesia. The
man is in good condition and increased in weight; wishes to go home.
17th April 1876.—Discharged from hospital this day.
CASE No, 3.
BHUGWAN DASS, Hindu, aged 33 years, inhabitant of village Burrola Sindwa,
Sialkot District, a man of athletic proportions, with non-tuberculated leprosy,
applied for treatment on the 1st March 1875.
Previous history.—Has been five years at Rai Bareli. No history of hereditary
taint. Had a venereal sore twelve years ago, no secondary symptoms. Has never
been ailing otherwise. Three months ago vesicles began to form on left hand on
dorsal aspect of integumental fold, between thumb and index finger, these burst and
formed shallow ulcers, at the same time the hand became heavy, enlarged uni-
formly and anæsthetic. The right hand was similarly affected soon afterwards.
Present symptoms.—Both hands uniformly swollen and without touch sensa-
tion. Two shallow ulcers, circular in out-line and about an inch in diameter, on
dorsum of each hand, over integument between metacarfal bones of thumbs and
index fingers. The floors of the ulcers are formed of healthy granulations j toes
swollen and anæsthetic ; soles of the feet dry and deeply fissured ; has one large
7a