21,3 Gomez et al.: Early Lesions of Leprosy 237 
blanket and examined after the breaking out of copious sweat. 
The sensibility to pain was not tested because, except in extreme 
cases, it is hard to determine from the answers of the children 
the dissociation of the tactile and the pain sensations. 
The physical examination of the nose was made with the aid 
of a nasal speculum, in ordinary daylight, which naturally did 
not show the hind portions of the nasal cavity. 
The specimen for bacteriological examination was obtained 
by scraping about the edge of the suspicious lesion in the skin; 
or, in the case of the nose, by scraping the suspicious lesion 
noticed on the physical inspection; or, in the absence of such 
lesion, the specimen was obtained from the site at about the 
junction of the cartilaginous and bony portions of the septum. 
The scraping was made with a sharp knife until a small amount 
of serum and blood was obtained; this material was smeared 
over a glass slide, fixed by heat, stained by steaming carbol- 
fuchsin, washed in water, and decolorized with Gabbett’s methyl- 
ene blue. 
TABLE 2.—Results of physical and bacteriological examinations of the 
skin and nose of children of lepers, November, 1921. 
Examination of skin. Examination of nose. 
No. tinhe. Age. Bacte- Bacte- PB cen. rmena 
Physical. riologi- Physical. riologi- 
cal. cal. 
the 
Ae ts 10: | Nepntive..... oe _ Negative oo. — Nonleper. 
TS oe 7 | Negative; noscabies_| — Erosion of mucosa, ae Do. 
anterior portion 
septum, both sides. 
8|B.M..| 6] Negative__.-.--.-...| — | Right sidenegative;| — Do. 
small ulcer sep- 
tum, left side, 
anterior margin of 
quadrilateral car- 
tilage. 
4} A.C... Fi OG. ae Slight erosion, mu- Do. 
cosa, both sides of 
septum. 
§| A.N.. 8 | White area on right a Shallow ulcer, right ra Suspicious. 
side; scabies; no side, anterior por- 
pilocarpine test tion of septum; left 
made. side negative. 
6|L. de 8| White particles on| — | Left side appar-| — Do. 
ja C. face and neck and ently negative; 
chin, which are not small nodule right 
anzsthetic and side septum, ante- 
show sweating on riormargin quadri- 
pilocarpine injec- lateral cartilage. 
tion. 
