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October 1948

GUMMA OF THE LUNGReport of a Case

Author Affiliations


From the Department of Dermatology, College of Physicians and Surgeons, Columbia University and the Vanderbilt Clinic, New York.

Arch Derm Syphilol. 1948;58(4):444-450. doi:10.1001/archderm.1948.01520230089011

GUMMA of the lung is conceded by most writers on the subject to be a rarity, especially as a manifestation of acquired syphilis. The diagnosis of gumma of the pulmonary parenchymal tissue in all cases heretofore reported has been either clinical or established at necropsy. The case to be reported is unique in that the disease was suspected clinically and confirmed histologically in a living patient by examination of lung tissue removed by lobectomy.

It is not within the scope of this report to review the literature, as little has been added since the presentation of Carrera1 in 1920.

The diagnosis of gumma of the lung rests on several criteria, which may be divided into four broad categories: clinical, radiologic, therapeutic and pathologic.

Clinically, there is little to distinguish gumma of the lung from a host of other localized chronic pulmonary lesions, particularly tuberculosis, deep mycoses of the actinomyces

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