te ee Pi geet TE fee , ws » ee. a wow “eelQoni,- at Dae “oa tao Fee mee vy et nen BRIATLL, « themaaatn °F The ship reached Yaizu at 9200 a.m. on the fourth of March. The patient went home, tdéok a bath in fresh water, using common toilet soap, and also washed his hair. He then had a haircut (regular long). The patient then went to the ~ Kyoritsu Hospital in Yaizu, together with other shipmates, where he was examined, and medication applied to the ear. On 15 March the patient was seen in the out-patient clinic of Tokyo University Hospital and was advised to enter the hospital for examination and treatment. He returned to Yaizu that day and returned on 16 March to be admitted, to the Shimieu Surgical Service of Tokyo University Hospital. Since admission the patient has had no complaint except for changes in the skin lesion, with increase in pigmenta-— tion, and some spread of the lesions in the hands. The patient has had daily baths at this hospital, has had his hair cut short and nails trimmed. cons. Several blood counts and bone marrow aspirations have been Non-specific medication has been applied to the skin lesions, and the eyes are being treated daily with boric acid solution washings. On physical examination there was seen a well developed and muscled young Japanese male, -His temperature was 99.0, pulse 84, BP 135/60. On the head was a well demarcated area completely around the cranium where his hat had protected his scalp. The unprotected area showed a darkening of the skin with some slight cesquamation which revealed what appeared te be a normal pigmented skin} back of the neck there was one small discrete pustule. swelling with cracking of the skin. On the th ears showed slight In the left ear the skin was eroded and there was a sanguinous purulent discharge; this type discharge was also seen in the left auditory canal, Both hands showed some swelling; however on the palmar surfece of the left second, third and fourth fingers, there were huge blisters US DOE ARCHIVES gs

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