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Hansen's Disease. Presented by Dr. Wise.
A girl from the West Indies, had been shown on two previous occasions. She presented areas of leukoderma on both knees. The changes in these areas have been about 3 inches (7.6 cm.) in diameter. There were also small patches on both arms similar to those on the knees. There was a mild degree of anesthesia in all of these patches. On the back were six pea-sized, atrophie, deeply pigmented areas which were also mildly anesthetic. The Wassermann blood reaction was negative. Two examinations of the nasal secretion were negative. Further examinations will be made of the secretions of this patient for the lepra bacillus.
Dr. Ochs remarked that the thickening of the ulnar surface, together with the rest of the symptoms would lead one to agree with the diagnosis. However, he felt that a neurologic examination would help to confirm it.
Scheer M. MANHATTAN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1925;12(1):119–125. doi:10.1001/archderm.1925.02370070132014