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July 1985

Leprosy in the Light Skin: An Illustrated Manual

Author Affiliations

Carville, La


by D. L. Leiker and E. Nunzi, 199 pp, $30, Bologna, Italy, Italian Leprosy Relief Association, "Amici di Raoul Follereau," 1984

Arch Dermatol. 1985;121(7):936. doi:10.1001/archderm.1985.01660070126037

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Although not intended as a comprehensive textbook, this book is clearly much more than an atlas of leprosy, as it provides the essentials of practical leprology in a condensed form. Outlines of the bacteriology and epidemiology of leprosy are given. The techniques involved in lepromin skin testing are very well illustrated. Emphasis is rightly placed on the diagnosis of the disease. Excellent demonstrations of how to examine peripheral nerves and peripheral nerve function are provided, and there are good illustrations and outlines of the techniques involved in taking skin smears for acid-fast bacilli and obtaining skin biopsy specimens.

Chapter 6, on classification, is masterfully illustrated with clinical photographs (115 illustrations) and beautifully done photomicrographs of the histopathology of the disease in skin. Leprosy reactions are well covered in chapter 7. Figures 174 and 175 are said to represent reversal reactions in subpolar lepromatous leprosy. On clinical grounds, these lesions could

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