ABSTRACT
A case of Lucio's spotted leprosy (diffuse lepromatous leprosy of Mexico) ocurring in a Hawaiian-born Portuguese girl and healing under promin therapy, is reported. So far as is known, this is the only case of this type of leprosy that has been observed in Hawaii.
Subject(s)
Leprosy , Leprosy, Lepromatous/classification , Leprosy, Lepromatous/diagnosisABSTRACT
The sulfones - promin and diasone - are of great value in the care of patients suffering from lepromatous laryngeal involvment, both in those who have not required tracheotomy and in those who are wearing tracheal tubes. In an experience of less than two years with these drugs at the Kalaupapa Settlement, 9 patients have been able to remove tubes as a result of that treatment, and at least 2 (perhaps 5) have been saved from tracheotomy. The last death from the chronic bronchitis which follows tracheotomy was in February 1947; the last tracheotomy was in May 1947.
Subject(s)
Leprosy , Leprosy/diagnosis , Leprosy/prevention & control , Leprosy/drug therapyABSTRACT
A group of 144 patients, of whom 46 are living and 98 have died, furnish clinical material for a study of tracheotomy in leprosy. Indications for operation, surgical anatomy, operative technic, and post-operative care are particularly emphasized.
Subject(s)
Leprosy/surgery , Leprosy/complications , Larynx/physiopathology , Tracheostomy/methodsABSTRACT
The local use of urea, in crystals or saturated aqueous solution, is of value in the treatment of perforating ulcers. It hastens the spontaneous extrusion of necrotic bone and appears to stimulate subsequent healing.
