JAMA. 1913;61(12):946-949. doi:10.1001/jama.1913.04350120036010.
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Our medical text-books tell us that we have many lepers in this state and that they are immigrants from the Scandinavian countries, particularly from Norway. Our lepers are gradually dying out and there are not enough left for clinical demonstration even if all were at hand at this meeting. A few cases will give us only a faint idea of the clinical aspect of this exceedingly varying disease with its different forms, many stages, all possible degrees, irregularities, asymmetry, complications and great variability in the final mutilations. One case is not like another and a complete clinical demonstration would mean hundreds—and we have not got them.

As everyone knows, leprosy appears in two clinically different and, when developed, sharply defined forms. In both forms, a macular cutaneous eruption is the first symptom—the initial lesion, which probably exists, having never been discovered—and in this stage it might be questionable which special form of leprosy will develop. This


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