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Lepromin
The lepromin skin test is used to determine what type of leprosy a person is infected with. It involves the injection of a standardized extract of the inactivated "''leprosy bacillus''" (''Mycobacterium leprae'' or "Hansen's bacillus") under the skin. It is not recommended as a primary mode of diagnosis. Method Positive reaction means: A) or more induration after 48hrs B) or above nodule after 21 days. An extract sample of inactivated Hansen's bacillus is injected just under the skin, usually on the forearm, so that a small lump pushes the skin upward. The lump indicates that the antigen has been injected at the correct depth. The injection site is labeled and examined at 48hours and 21 days later to see if there is a reaction. People with dermatitis or other skin irritations should have the test performed on an unaffected part of the body. If a child needs to have this test performed, it may be helpful to explain how the test will feel, and even practice or demonstrate on a dol ...
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Kensuke Mitsuda
was a Japanese leprologist and director of the Tama Zenshoen Sanatorium (1914–1931) and the National Sanatorium Nagashima Aiseien (1931–1957). He had been at the frontier of leprosy policy of Japan. He was given the Order of Cultural Merits (1951) and Damien-Dutton Award (1961). He has been the cause of admiration from one side, and the target of criticism from the other. Life Early life *He was born in Yamaguchi Prefecture in 1876 and studied medicine at a private doctor's office in Yamaguchi city. He went up to Tokyo in 1894 and studied medicine at a doctor's office and passed the First Stage Doctors' Practice Examination in 1895. Later he studied at a Private school Saisei Gakusha. He passed the final qualification examination in 1896. He then studied pathology at the University of Tokyo for two years. In 1897, he worked at the Tokyo Metropolitan Yoikuen Hospital where he met leprosy patients. In 1899, he isolated leprosy patients within the hospital and created a wa ...
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Fernandez Reaction
The Fernandez reaction is a reaction that occurs to signal a positive result in the lepromin skin test for leprosy. The reaction occurs in the skin at the site of injection if the body possesses antibodies to the Dharmendra antigen, one of the antigens found in Mycobacterium leprae, the bacteria that causes leprosy. The reaction occurs via a delayed-type hypersensitivity mechanism. This reaction occurs within 48 hours of injection of lepromin and is seen in only tuberculoid forms of leprosy. This represents a delayed-type hypersensitivity reaction. In contrast, the Mitsuda reaction (delayed granulomatous lesion) occurs 3–4 weeks after injection of lepromin and is only seen in patients with the tuberculoid form of leprosy (not the lepromatous form, in which the body does not mount a strong response against the bacterium). In terms of mechanism of action and appearance, the reaction is similar to the tuberculin reaction of a positive Mantoux test for tuberculosis Tuberc ...
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Paul Bargehr
Paul Bargehr (18 March 1889 31 December 1951) was an Austrian medical doctor and writer mostly known for his work treating Hansen's disease (leprosy) in the Dutch East Indies (now Indonesia). Although the Japanese researcher Kensuke Mitsuda receives credit for first developing the modern lepromin test for distinguishing between different forms of Hansen's disease, Bargehr's work was responsible for coining and popularizing its current name. Life Paul Bargehr was born on 18 March 1889 in Thüringen, Vorarlberg, in Austria-Hungary. He practised medicine in Innsbruck before travelling to the island of Java in the Dutch East Indies in 1920. While there, he studied and treated Hansen's disease, developing a modified form of intradermal leprolin test. He minced leproma with a large amount of '' M. leprae'' in water, then boiled it at 100°C for 20 minutes and added carbolic acid at a ratio of 1:200 with the water. He called the serum thus created "lepromin", which has remained th ...
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William Jopling
William Jopling (2 March 1911 – 21 August 1997) was an Italian-born British leprologist who together with D. S. Ridley proposed the Ridley-Jopling classification of leprosy (1962), and wrote the widely read textbook of "Handbook of Leprosy" which had a fifth edition. He had a wide understanding of leprosy problems based on his experiences as the director of Jordan hospital, a leprosy hospital (1950–1967) in England and wrote various articles including " leprosy stigma". Life Early life He was born in Pozzuoli, near Naples, Italy and educated at Norman Court School, New Barnet and Queen Elizabeth's Grammar School for Boys, Barnet. He graduated from London University (St. Barthlomew's Hospital) in 1936 and studied medicine and obstetrics, as an intern, ending as a ship doctor traveling to the Far East. Later in 1938, he went to Hartley, Southern Rhodesia (now Zimbabwe), Africa with his wife, and chiefly engaged in medicine and obstetrics. He transferred a patient wit ...
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Leprosy
Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria ''Mycobacterium leprae'' or ''Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve damage may result in a lack of ability to feel pain, which can lead to the loss of parts of a person's extremities from repeated injuries or infection through unnoticed wounds. An infected person may also experience muscle weakness and poor eyesight. Leprosy symptoms may begin within one year, but, for some people, symptoms may take 20 years or more to occur. Leprosy is spread between people, although extensive contact is necessary. Leprosy has a low pathogenicity, and 95% of people who contract ''M. leprae'' do not develop the disease. Spread is thought to occur through a cough or contact with fluid from the nose of a person infected by leprosy. Genetic factors and immune function play a role in how easily a person catches the disease. Lepro ...
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Delayed Type Hypersensitivity
Delay (from Latin: dilatio) may refer to: Arts, entertainment, and media * ''Delay 1968'', a 1981 album by German experimental rock band Can * ''The Delay'', a 2012 Uruguayan film People * B. H. DeLay (1891–1923), American aviator and actor * Dorothy DeLay (1917–2002), American violin instructor * Florence Delay (born 1941), French academician and actor * Jan Delay (born 1976), German musician * Jason Delay (born 1995), American baseball player * Jean Delay (1907–1987), French psychiatrist, neurologist, and writer * Paul deLay (1952–2007), American blues musician * Tom DeLay (born 1947), American politician * Vladislav Delay (born 1976), Finnish musician Science and technology Computing and telecommunication * Delay (audio effect), a technology for producing delayed playback of an audio signal * Delay (programming), a programming language construct for delaying evaluation of an expression * Analog delay line, used to delay a signal * Broadcast delay, a practice ...
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Dutch East Indies
The Dutch East Indies, also known as the Netherlands East Indies ( nl, Nederlands(ch)-Indië; ), was a Dutch colony consisting of what is now Indonesia. It was formed from the nationalised trading posts of the Dutch East India Company, which came under the administration of the Dutch government in 1800. During the 19th century, the Dutch possessions and hegemony expanded, reaching the greatest territorial extent in the early 20th century. The Dutch East Indies was one of the most valuable colonies under European rule, and contributed to Dutch global prominence in spice and cash crop trade in the 19th to early 20th centuries. The colonial social order was based on rigid racial and social structures with a Dutch elite living separate from but linked to their native subjects. The term ''Indonesia'' came into use for the geographical location after 1880. In the early 20th century, local intellectuals began developing the concept of Indonesia as a nation state, and set the st ...
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Java
Java (; id, Jawa, ; jv, ꦗꦮ; su, ) is one of the Greater Sunda Islands in Indonesia. It is bordered by the Indian Ocean to the south and the Java Sea to the north. With a population of 151.6 million people, Java is the world's most populous island, home to approximately 56% of the Indonesian population. Indonesia's capital city, Jakarta, is on Java's northwestern coast. Many of the best known events in Indonesian history took place on Java. It was the centre of powerful Hindu-Buddhist empires, the Islamic sultanates, and the core of the colonial Dutch East Indies. Java was also the center of the Indonesian struggle for independence during the 1930s and 1940s. Java dominates Indonesia politically, economically and culturally. Four of Indonesia's eight UNESCO world heritage sites are located in Java: Ujung Kulon National Park, Borobudur Temple, Prambanan Temple, and Sangiran Early Man Site. Formed by volcanic eruptions due to geologic subduction of the Austra ...
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Ernest Reinhold Rost
Lieutenant-colonel Ernest Reinhold Rost (22 August 1872 – 23 June 1930) O.B.E. was an English physician and Buddhist writer. Biography Rost was born at Ealing on 22 August 1872. He was the son of Reinhold Rost. He was educated at Highgate School and at St. Mary's. He took the M.R.C.S. and L.R.C.P. in 1895 and joined the Indian Medical Service (IMS) as surgeon lieutenant on 29 January 1896. He became lieutenant-colonel on 29 July 1915. He retired on 3 September 1922. He was a civil surgeon in Burma and worked at Rangoon Medical School where he was superintendent and a lecturer in surgery. He served in East Africa during World War I and on the North-West Frontier of India during the Third Anglo-Afghan War of 1919. After retirement he practiced in Putney and specialized in tropical diseases under the Ministry of Pensions. He conducted important work on leprosy. On 1 January 1913 he received the Kaisar-i-Hind Medal and the O.B.E. on 3 June 1918. Rost established the first bacter ...
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Vaccine
A vaccine is a biological preparation that provides active acquired immunity to a particular infectious or malignant disease. The safety and effectiveness of vaccines has been widely studied and verified. A vaccine typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe, its toxins, or one of its surface proteins. The agent stimulates the body's to recognize the agent as a threat, destroy it, and to further recognize and destroy any of the microorganisms associated with that agent that it may encounter in the future. Vaccines can be prophylactic (to prevent ...
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Aldo Castellani
Aldo Castellani, KCMG (8 September 1874 – 3 October 1971) was an Italian pathologist and bacteriologist. Life and achievements Castellani was born in Florence and educated there, qualifying in medicine in 1899. He worked for a time in Bonn and joined the School of Hygiene and Tropical Medicine in London in 1901. As bacteriologist with the Royal Society Commission on Sleeping Sickness in 1902, he went to Entebbe, Uganda with George Carmichael Low and Cuthbert Christy. He demonstrated the cause and means of transmission of sleeping sickness, discovered the spirochete of yaws, and did other original work in bacteriology and in parasitic diseases of the skin. In 1903 he was appointed Bacteriologist to the Government of Ceylon at the Central laboratory in Colombo and continued research in mycology and bacteriology, describing several new species of intestinal bacilli.
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Hives
Hives, also known as urticaria, is a kind of skin rash with red, raised, itchy bumps. Hives may burn or sting. The patches of rash may appear on different body parts, with variable duration from minutes to days, and does not leave any long-lasting skin change. Fewer than 5% of cases last for more than six weeks. The condition frequently recurs. Hives frequently occur following an infection or as a result of an allergic reaction such as to medication, insect bites, or food. Psychological stress, cold temperature, or vibration may also be a trigger. In half of cases the cause remains unknown. Risk factors include having conditions such as hay fever or asthma. Diagnosis is typically based on the appearance. Patch testing may be useful to determine the allergy. Prevention is by avoiding whatever it is that causes the condition. Treatment is typically with antihistamines such as diphenhydramine and cetirizine. In severe cases, corticosteroids or leukotriene inhibitors may al ...
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