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October 29, 1887


JAMA. 1887;IX(18):558-560. doi:10.1001/jama.1887.02400170014003

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Surgical Tuberculosis.  —In an article on this subject Professor R. Volkmann gives a masterly review of surgical tuberculosis, beginning with, I. Tuberculosis of the Skin and Connective Tissue.1. Lupus is a genuine tuberculosis of the skin, though it is to be considered a special form of tuberculosis, which attacks by preference persons who are slightly or not at all hereditarily infected. Clinically it is characterized by its great tendency to local relapse, in contradistinction to other tuberculous affections of the skin. Between the latter and lupus there are intermediate forms, and the prognosis of these as compared with lupus is more favorable as to local permanent cure, but worse as to later appearance of tuberculous processes in other localities, tissues and organs.2. Tuberculous Ulcerations of the Skin, to be distinguished from lupus, answer mostly to scrofulous ulcerations of older authors. They are most frequently found in children and

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