LEPROS Y. 



343 



without detection and to progress without observation. 

 The ulcerations and occasional loss of phalanges that 

 follow these lesions occur, probably, in the same manner 

 as in syringomyelia. 



The disease advances, having first manifested itself 

 upon the face, extensor surfaces, elbows, and knees, to the 

 lymphatics and the internal viscera. Death ultimately 



Fig. 73. — Tubercular leprosy in a negro (Corlett). 



occurs from exhaustion, if not from the frequent inter- 

 current affections to which the conditions predispose. 



While not so contagious as many other diseases, it 

 has been abundantly proved that leprosy is transmissible, 

 and it may be regarded as an essential sanitary precaution 

 that lepers should be strictly segregated. 



