Licence: Public Domain Mark
Credit: Notes on the carbolic treatment of leprosy / by J.M. Fleming. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
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![rom his house, and obliged hini to live in a hut by himself. Has tried various remedies, European (administered by a native doctor) and native, without benefit. Present condition.—A thin, emaciated man, of a sallow complexion, and stone deaf (has to be communicated with by writing). There is a ring of rose-coloured raised spots round his right nipple, another similar ring above the left nipple, and a number of raised spots on his chest and shoul- ders. His eyebrows are very much swollen, giving him a peculiar frowning (leonine) appearance [Leontiasis, Dd-ul- Asad]; there are numerous raised tubercular spots on his forehead and cheeks, another patch on back of neck, very much raised, a number of smaller ones on back and loins, and a few on front of leos. Altogether a very marked sample of the first stage of true leprosy. Treatment.—To have his body thoroughly washed daily with soap and warm water, and to apply, night and morning, a mixture of carbolic acid ji, oil 3vii. 8th June.—A very marked improvement has taken place : the raised spots round the right nipple are now represented only by a slight rosy colour of the skin, all swelling having completely disappeared; the swelling of his forehead is also considerably less. 22nd June. — The spots on breast have now all but dis- appeared; those on forehead are much reduced in size, and are assuming a dull colour • there is also a considerable, though not so marked, improvement in the raised spots ou the back of the neck. 18th July.—Oneof thespots above left nipple, and another on left shoulder, which assumed a black colour a few days ago, have become abraded; the large raised spots on the back of the neck are now of a deep black colour, and those on the eyebrows are ash-grey. Most of the smaller spots](https://iiif.wellcomecollection.org/image/b21944039_0009.jp2/full/800%2C/0/default.jpg)


