458 



Leprosy in India. 



[part II. 



will also be remarked that almost complete absorption of the fingers has taken place-. 

 In the figures of the thirty-first plate the tuberculated feature is the leading characteristic. 

 B^'igure 1 (Plate XXXI) represents an almost typical instance of the Leontiasis of the 

 Ancients. The lips are thickened; the skin of the forehead is thrown into nodular 

 folds separated by deep furrows ; the eyebrows and lobes of the ears are enormously 

 thickened, as are also the Alee Nasi: the latter are seen to have acquired a trefoil-like 

 aspect. In Fig. 2 (Plate XXXI) the thickening of the lips and ears, and the sinking 

 of the septum nasi, owing to the disease of the mucous membrane and cartilages of 

 the nose, are conspicuous. In addition there is an angry lupus-looking ulcer of the 

 cheek which had produced even more distortion of the features than is suggested 

 by the plate. These cases will be subsequently referred to when detailing the clinical 

 observations. . 



In proceeding to details, we shall first give an account of the facts ascertained 

 in reference to each class of cases separately, and shall then proceed to the 

 consideration of those questions common to the disease generally. 



2. — Analysis of cases in the Asylum affected with Ancesthetic Leprosy. 



This is, as has been shown above, much the commonest form of the disease 

 among the inmates of the Asylum. 



The distribution and extent of the anaesthesia present varied extremely in 

 different cases. Taking the forty-nine cases, the general distribution of the anaesthesia 

 is shown in the following statement: — 



TABLE IX. 



Shoudng the Distribution of AnxEsthesia in 49 Lepers. 



In this statement we find that in 36 cases there was more or less complete 

 anaesthesia of the face, that in 28 the ears, in 12 the scalp, in 6 the neck, in 48 

 the upper, in all the lower extremities, and in 21 the trunk, were affected. In 

 2 cases the ears were affected without their being any anaesthesia of the face, so 

 that the cases in which the head and neck were affected amounted as a total to 



