This document describes a disease that has affected people in the West Indies for 25-30 years. The disease begins with few red spots on the skin that are not painful. Over several years, the spots spread over the body and various symptoms develop slowly, including swelling of the face and extremities, thickening of features, and mortification and ulcers on the hands and feet. Eventually, the patient's condition deteriorates severely and they "fall to pieces", though they can perform normal functions for a long time even as the disease progresses.
This document describes a disease that has affected people in the West Indies for 25-30 years. The disease begins with few red spots on the skin that are not painful. Over several years, the spots spread over the body and various symptoms develop slowly, including swelling of the face and extremities, thickening of features, and mortification and ulcers on the hands and feet. Eventually, the patient's condition deteriorates severely and they "fall to pieces", though they can perform normal functions for a long time even as the disease progresses.
This document describes a disease that has affected people in the West Indies for 25-30 years. The disease begins with few red spots on the skin that are not painful. Over several years, the spots spread over the body and various symptoms develop slowly, including swelling of the face and extremities, thickening of features, and mortification and ulcers on the hands and feet. Eventually, the patient's condition deteriorates severely and they "fall to pieces", though they can perform normal functions for a long time even as the disease progresses.
perhaps think it, when you have read this letter. It is now about 25 or to years finer ',Cry parti- cular dikak (hewed itfill in many perfons in this Aland Grande MR. It6 beginning is imperceptibk : there appear but few lived-red fpots upon the fkins of the white people, and of a yellowilk red upon the blacks Theme fpots in the beginning arc not accompanied with pain, or any other fyrnptom ; but nothing Cal2 take them way. The difeafe inereaka infenfibly, and continues feveral years in fhewing ity fell more and more. Thek fpots increak, and ex- tend indifferently over the lkin of the whole body. Sometimes they are a little prominent, hut flat. When the dikak makes a progrcfs, the upper part of the ode fwells the nofirils are enlarged, the stole becomes foftened ; tuberofities appear upon the chak.bones ; the eyebrows arc inflated ; the ears grow thick ; thc enils of the fingers, and even the feet and tow, kvell ; the nails become fcaly ; the joints of the feet and hands feparate and mortify ulcers of a deep and of a dry nature are found in the pahns of the hands and Inks of the feet, which grow well, and return again. In fhort, when the difeak is in its Jail Rage, the patient becomes fright- ful, and falls to pieces. All there fymptonss come on by very flow degrees, one after another, and fume- tinws require many years to thew therm-elves: the patient is knfibk of no (harp pain ; but feels kind of numbnefs in his hands and feet. Thele people perform their natural functions all the while, eating and drinking as ufual : and when even the mortifi- cation has taken off the fingers and toes, the only ill conk-
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