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Modern Concepts of Leprosy
by Harry L. Arnold, Jr., M.D., F.A.C.P., Department of Dermatology, Straub Clinic, Honolulu, Hawaii. Publication No. 145, American Lecture Series. 105 pp. with 33 illustrations. Springfield, Illinois: Charles C. Thomas. 1953. Price $3.75. Published simultaneously by Blackwell Scientific Publications, Ltd., Oxford, England and The Ryerson Press, Toronto, Canada
This is an excellent 91-page, well illustrated monograph on leprosy, in which the various phases of the disease are well and concisely discussed. It should be made available to medical students, physicians and public health personnel. Such individuals must become leprosy conscious since the United States has members of the armed services stationed in many areas in the world in which the disease is endemic. Based on past experience, it is quite likely that some of them will become infected and develop the disease clinically, no matter in what section of the country they may reside.
Due to the protean manifestations, leprosy may simulate many of the more common dermatological and neurological diseases. In the chapter on diagnosis the author has given valuable assistance in differential diagnosis. Early diagnosis is essential in order that treatment may be instituted early in the course of the disease.
Control measures should be based on available factual knowledge of the factors influencing transmission. The present information relative to those factors is well summarized in the author's statement that “the epidemiology of leprosy permits us to make very few positive statements about it.”