Treatment of Leprosy with X-Rays and High Frequency

Ulceration first started three months ago almost simultaneously on the dorsums of both feet, on the under-surface of the distal phalanges of both great toes and under the right heel. They all began as small purplish patches over which " blisters" developed, and these eventually burst, leaving unhealthy-looking ulcers with a watery blood-stained discharge ; those on the dorsal aspects were shallow and spreading from the edges, those on the plantar surfaces increasing chiefly in depth with sharply cut margins. Condition at commencement of treatment.? Patient was a very big, powerful man, looking somewhat morose, but otherwise apparently in fairly good health. On the left foot about the centre of the dorsum there was a shallow ulcer, two inches long by one and a half inches broad,with a few pale granulations andunhealthy-Iooking surface, from which issued a scanty sanious discharge. There was a similar ulcer, but slightly larger, on the dorsum of the right foot. On the plantar aspect of the distal phalanges of both big toes were deep circular ulcers, three-quarters of an inch in diameter, the edges being clean cut, hard and slightly undermined, the base of the one on the right foot was nearly a quarter of an inch below the surface and involved the bone ; there was a yellowish grey membrane over it from which issued a slight discharge of thin yellowish pus. The one on the left foot was somewhat similar but not quite so deep, did not involve the bone and extended rather more towards the end of the toe. There was also a similar ulcer, one and a quarter inch in diameter, on the base of the right heel, which did not involve the bone. There was some oedema of both feet and ankles. There were large areas of anaesthesia involving most of the skin over both shins, and of the back of both forearms and hands, an<l j, large patch, eight inches by four inches in the luir.bar region. The ulnar