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To the Editor.
—In reviewing the article titled "Madarosis in Chronic Epinephrine Therapy," by Drs. Kass, Stamper, and Becker in the Archives (88:429, 1972), we were impressed by the long list of conditions known to cause madarosis. The authors point out that certain debilitating diseases, such as tuberculosis, syphilis, and sickle cell anemia, may lead to madarosis. We were surprised that leprosy was not specifically mentioned in the differential diagnosis of this finding. While recently working with Project Hope in northeastern Brazil, we examined 100 patients with known leprosy. We found madarosis to be the most common type of ocular involvement, occurring in the brows in 59% and in the cilia in 44%. Most other studies quote a similarly high incidence of madarosis in leprosy. It was recently pointed out at the Annual Symposium on Ocular Leprosy in Carville, La, that there are almost 3,000 cases of leprosy in the
Shields JA, Waring GO. Madarosis. Arch Ophthalmol. 1973;90(6):511. doi:10.1001/archopht.1973.01000050511023