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DISEASES DUE TO BACTERIA 



(i) Tubercular Variety. 



A severe fever accompanied by an erythematous, diffuse or macular 

 eruption on the face and Hmbs. This may subside or macules may 

 develop into tubercles. 



This is repeated, glands enlarge, fever may sometimes be absents 



Tubercles and nodules come first, usually on the face and forehead, 

 cheeks, aU'E of nose, lobules or ears, lips and chin. They soon alter 

 the appearance of the patient. The tubercles are the size of split peas, 

 dirty pink or dark brown, resembling sebaceous follicles. Beard, 

 moustache, and eyebrows drop out early. Complete madarosis is not 

 uncommon. 



Paralysis of the frontalis muscles is sometimes seen. 



Deformities in anresthetic leprosy. 



Tubercular leprosy. Marked case. 



Abotit the eye. 



Eyelids show diffuse or nodular lepromata, these mav ulcerate and 

 destroy the eyelids. 



Conjunctiva; may become infiltrated, ectropion, zerophthalmia. 



Episclera infiltrated external to corneo-sclerotic junction. 



Small spots on cornea — " keratitis punctata leprosa." 



Uveal tract is infiltrated, anterior and posterior iritis may occur; 

 nodules may form in the ciliary body or near the canal of Fontana, 

 causing irido-cyclitis, or irido-choroiditis. 



About the nose. 



Nasal mucosa shows nodules, occlusion may ensue with ulceration 

 and destruction of the nose, disfiguration from cicatrization. Sense 

 of smell is lost. 



