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HARRY L. ARNOLD, Jr., M.D.

Arch Derm Syphilol. 1949;60(6):1148-1159.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE WORD "macule" has long been used by students of leprosy in two quite different and yet overlapping senses. Exceptionally, it has been used in the orthodox sense of a circumscribed, flat discoloration of the skin (usually hypopigmentation, and less often erythema); and in this use it is, oddly enough, usually qualified as either "lepromatous" or "simple" (or "anesthetic") or, more recently, "uncharacteristic" or "indeterminate."

The term has been much more commonly used, however, in a sense at once looser and more restricted, and certainly not at all orthodox. Without any qualifying adjective, the word "macule"¹ has been used to designate any circumscribed, discolored (hypopigmented, erythematous or both) cutaneous lesion, flat or elevated, in which (1) evidence of nerve damage (usually anesthesia) can be demonstrated and (2) bacilli are rare or absent. When such a lesion is flat, it is often spoken of as a . . . [Full Text PDF of this Article]

Author Affiliations
HONOLULU, HAWAII

From the Clinic.

Footnotes
Read at the Sixty-Eighth Annual Meeting of the American Dermatological Association, Inc., San Diego, Calif., April 26, 1948.

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