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July 17, 1915


Author Affiliations

Attending Neurologist, Cook County Hospital; Interns at the Cook County Hospital CHICAGO

JAMA. 1915;LXV(3):235-238. doi:10.1001/jama.1915.02580030027011

The diagnosis of so-called nervous or anesthetic leprosy is occasionally very difficult, and numerous cases have been reported in which the diagnosis could not be made at all,1 or could be made with some probability,2 or in which something else, usually syringomyelia, has been diagnosed.3 Some authors have even been led to the conclusion that leprosy and syringomyelia are identical diseases.

Erroneous though such opinion may be, cases do occur in which the similarity of these two diseases is so great that a mistaken diagnosis is fully justified, but in which a careful analysis of the morbid manifestations may lead to a proper diagnosis. In this category belongs, in our opinion, the following case:

History.  —Miss A. J., aged 62, entered the orthopedic service of Dr. Charles Jacobs on account of deformities of all four limbs. She was born in the eastern part of Norway, and was