TUBERCULAR LEPROSY 



657 



affected, and show numerous tubercles, separated by furrows, or 

 it may be simply infiltrated. The walls of the mouth and pharynx 

 may become lepromatous, which causes mastication and deglutition 

 to be rendered difficult, while the same condition in the larynx 

 makes the voice raucous, and may impede respiration, especially 

 if there is ulceration and cicatrization. 

 The skin^of the hands, arms, and legs also shows numerous raised 



Fig. 729. — Diffuse Infiltration of Both Corneas and Deformities 

 IN THE Fingers of the Right Hand. 



tubercles, which may ulcerate. The nipple is often infiltrated. 

 The submaxillary, cervical, and femoral glands may be enlarged, 

 and may suppurate. The testes often become fibrous, and 

 menstruation becomes irregular and stops. 



Blood. — In the early stages the blood shows no changes, but later 

 it shows a diminution in the erythrocytes and a lowering in the 

 colour index. The red cells may show abnormalities in the form of 

 poikilocytes, polychromatophilia, and basophilia. The number of 



