133 
rather an insecure nature. No conclusive evidence has been 
produced demonstrating the condition to be a mycosis. ' 
Fish (1897) came to the conclusion that the condition was 
e describes 
caseous areas with an irregular or bosselated surface. He 
describes th e 
eucocyte. He also mentions the finding of giant cells in many 
of the sections. ` 
e granuloma Fish describes is similar in all essential 
Characteristics $0 s p cer" and the more chronic 
ja. 
i wis has already agreed that ''leeches" and ‘‘swamp 
Renee aro probably the same disease. 
It seems reasonable to conclude, therefore, that under the 
term *'leeches'' is described a granu closely resembling 
poe I P cancer" in i acroscopic and microscopic appear- 
; and that it is probably a habronemic granuloma. 
—'*Bursattee," or “Bursati,” 1s the name 
‘his condition is classified by Hutyra and Marek as 4 
yp. h > e T . “ec eeches. »? 
; 1 symptoms are said to consist in the appearance 
very firm nodules under the skin of the lips, the nasal alae, 
