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Leprosy. Presented by Dr. H. S. Campbell.
This middle-aged woman complains of small lumps on the face, arms and legs. These commenced as reddish discolorations which gradually grew into lumps. The lesions have been present for approximately four years. The patient has never been entirely free from them during that time, although a few disappear spontaneously at times. New ones continue to appear. The facial expression changed about three years ago, and a peculiar discoloration of the skin occurred at about the same time. The enlarged verruca-like lesion on the posterior aspect of the leg appeared after a trauma occasioned by scarification. The exuding papule on the toe also appeared after an injury. A somewhat significant point is that the patient spent about three or four years as a teacher in the Philippine Islands seven years ago.
Dr. Irving R. Bancroft: I think that the condition is leprosy.
Anderson NP, Scholtz M. LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1935;32(4):668–673. doi:10.1001/archderm.1935.01470040125025