A 32-year-old native of Thailand presented himself at the office on May 29, 1957, with the complaint of rash on the right arm. It had started four months before as a small asymptomatic red spot on the right elbow and had rapidly progressed to its present large size. Two weeks before this visit, while pressing clothes, he had burned part of the eruption with a hot flat-iron and was unaware of doing so until he saw the burned skin later. Past history revealed that six to seven years ago he had had an asymptomatic red patch on the same elbow, which had cleared without treatment within a year. At the time of this visit he had been in the United States for almost a year. Neither his wife nor their three children in Thailand had any cutaneous or neurological disorders. The patient had no systemic

Leprosy

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