Abstract
Ulcers in leprosy are of two kinds: lepromatous and trophic. My experience in India showed that trophic ulcers were by far the more common of these two. An investigation of all ulcers in the large leprosarium at Purulia showed only between one and two per cent to be bacteriologically positive, the rest being of a trophic nature resulting from affection of the nerve supply. On coming to the Trinidad leprosarium at Chacachacare I was astonished to find that the great majority of ulcers are of a lepromatouS! nature, that is, due to the breaking down of nodules and diffuse leproma. These are full of masses of bacilli which are constantly shed off from the surface. The treatment of these ulcers was a problem. The sisters who dress the wounds spent a large part of their time in dressing these constantly discharging wounds. The patients, loaded with dressings and bandages become immobilised and bed ridden and their limbs, and especially their fingers, become stift and atrophied. Reading an article by Ross and Hulbert on the treatment of air battle burns with silver nitrate, tannic acid and gentian violet .. ·
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