IN this disease, the eruption makes its appearance as a small, salmon red spot, raised a little above the surrounding skin, and constituting, in fact, a flat pimple, almost as large at the top as at the bottom. On top of this pimple the scarf skin becomes rough, and after a little while a thin scale is produced. New layers are added to its under surface, and it accordingly grows thicker. It has a bright, silvery luster. These scaly spots multiply, and become the form of leprosy called lepra guttata, from the Latin gutta, a drop, the scales looking like drops of water on the skin.
But the eruption more frequently spreads out into circular patches, of the size of a fifty cent piece. These generally appear below the elbows and knees, and on the breast and shoulders, and back of the hands. Sometimes the entire hand is covered with scales of a peculiar silvery whiteness. These patches heal from the centre.
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