RESUMO
The clinical features and histological findings in eight tuberculoid neural-type cases in the Philippines, that were hospitalized because bacteriologically positive and observed from two to more than six years, are recorded. In seven cases the principal lesions were of major grade, moderate or very marked; but one case, though otherwise essentially similar, was never more than of minor grade. In three, if not four, other cases, after partial subsidence of the condition, some of the lesions progressed as of the minor tuberculoid variety, giving further evidence of lack of fundamental type differentiation of the ordinarily recognized(major) tuberculoid condition from the lesser forms of neuromacular leprosy. In two cases there was unilateral involvement of a nerve trunk of an extremity on which the first lesion appeared further indicating that in this form of the disease such affection may occur by extension through the cutaneous nerves, and not necessarily by metastasis. Onset of the disease was commonplace, in three instances with anesthesia preceding the appearance of macules, which in the group as a whole were usually of the simple form at first. Development of tthe condition that led to hospitalization usually, though apparently not invariably, resulted from reaction, whether mild or severe. Several cases experienced one or more relapses by reaction after they came under observation. A striking feature of the condition, hitherto not emphasized, is a secondary eruption, primarily papular or mixed papular and macular, often abundant, that can be ascribed only to metastatic dissemination of the infecting agent by may of the blood stream...