The full content of Annals is available to subscribers

Subscribe/Learn More  >
Letters |

Leprosy Accidentally Transmitted from a Patient to a Surgeon in a Nonendemic Area

Eike-Gert Achilles, MD; Christian Hagel, MD; Mathias Vierbuchen, MD; and Manfred Dietrich, MD
[+] Article, Author, and Disclosure Information

From University of Hamburg, University Hospital Eppendorf, D-20246; General Hospital Sankt Georg, D-20099; and Bernhard-Nocht-Institute of Tropical Medicine, D-20359 Hamburg, Germany.

Acknowledgments: The authors thank Steven Pirie-Shepherd, PhD, and Rudolf Laas, MD, for carefully reviewing the manuscript.

Ann Intern Med. 2004;141(3):W-51. doi:10.7326/0003-4819-141-3-200408030-00028-w1
Text Size: A A A


Grahic Jump Location
Subcutaneous dorsal metacarpal region of patient 2's left hand.

The inflammation of the ulnar nerve presents as dark discoloration and marked, sometimes pearl-like thickening (large arrow), whereas an uninfiltrated branch of the nerve is of normal appearance ( small arrow) (magnification, ×2).

Grahic Jump Location




Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $32.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.