Leprous processes may simulate the changes that take place in the mucous membrane affected by subacute and chronic processes of more common occurrence. Though it is believed that the incidence of leprosy is very low in continental United States, there is ample evidence that cases of it are passing through well conducted clinics under improper labels, and the facility with which transportation is carried on with countries of the Pacific, Mexico, Central America and South America foster the introduction of the disease in spite of the screen of ship quarantine inspection.
It has been my privilege and opportunity over a period of seventeen years to observe and study the conditions of the eye, ear, nose, throat and larynx of practically every patient certified as leprous in whom the diagnosis was proved by painstaking investigation in the Receiving Hospital for leprous patients at Honolulu, to which an average of from fifty
PINKERTON FJ. LEPROSY OF THE UPPER RESPIRATORY TRACTDISCUSSION OF EARLY AND MODERATELY ADVANCED CASES. JAMA. 1938;111(16):1437–1443. doi:10.1001/jama.1938.02790420017004