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Observations on Leprosy
Dr. J. M. Gomes, a member of the board of directors of the Instituto de Hygiene of São Paulo, recently reported his observations made in twenty-nine cases of leprosy of various types with the aim of discovering the presence or the absence of Mycobacterium leprae in the tissues of apparently normal areas of the skin (the finger tips, the forearm and the dorsum of the hands) as well as in the blood obtained from the median vein of the elbow. Only in one case was fever associated with the development of the disease. The bacillus was isolated nine times from the tissues of the finger tips, eighteen times from those of the forearm and twelve times from those of the dorsum of the hands. It is possible that the absence of sebaceous secretions in children up to the age of 9 years is the predisposing factor for
RIO DE JANEIRO. JAMA. 1932;98(5):415–416. doi:10.1001/jama.1932.02730310055023