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March 1939


Author Affiliations


Arch Derm Syphilol. 1939;39(3):456-470. doi:10.1001/archderm.1939.01480210071007

The interesting paper read at the last meeting by Dr. Lehmann1 on unusual manifestations of leprosy and Dr. McCoy's2 dissertation on the communicability of this disease have led me to offer some remarks on tuberculoid leprosy.

The lesions in which histologic examination reveals a tuberculoid structure are frequently unrecognized or erroneously diagnosed because of their noncharacteristic clinical aspect and the discreteness, there being sometimes from one to three plaques, often of a monoform aspect. The use of the term "tuberculoid" to indicate this type of leprous lesion has been criticized by some authorities, and certainly the term is open to objection; but since it has been accepted by most writers on leprosy and since no better name has been proposed to replace it, I shall continue to use it.

Owing to the absence or scarcity of Mycobacterium leprae in tuberculoid lesions, there has been a tendency—at least until