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November 15, 1947


JAMA. 1947;135(11):732. doi:10.1001/jama.1947.02890110050021

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To the Editor:—  The following comments may be of help in clarifying certain points discussed in recent correspondence in The Journal.It would seem that Dr. Manalang is taking up the idea advanced long before the war by Rabello Junior that "sarcoid" may be a peculiar form of leprosy, or at least that the leprosy bacillus as well as other agents can produce the sarcoid syndrome (Internat. J. Leprosy5:483, 1937; also, note by Reensteirna, page 433, and my editorial, page 503, in the same issue). Decidedly against the hypothesis is the fact, among others, that leprosy does not exist at all as an endemic disease in certain European countries where sarcoid is common."Boeck and Mazzi found acid-fast bacilli in nasal secretion." The pitfalls of contamination by air-borne or water-borne acid-fast organisms in the diagnosis of leprosy are well known. The case cited by McCarthy, according to Kryle's original report

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