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August 20, 1904


JAMA. 1904;XLIII(8):553. doi:10.1001/jama.1904.02500080031009

The possibility of healing tuberculous lesions is well established. Instances of healed or healing local pulmonary, glandular, osseous and synovial tuberculosis are very common. The frequency with which healed tuberculous areas are encountered at postmortem examination is generally known. But even more extensive tuberculous outbreaks, such as tuberculous peritonitis, pleuritis, and even leptomeningitis, may heal completely. Instances of healed miliary tuberculosis, however, must be very rare. Spengler1 reports recently a case of healed miliary tuberculosis of the lungs in a man who first came under observation in 1889, when both apices showed evidences of involvement. In the following year there were signs of extensive invasion of the rest of the lungs. He was treated with tuberculin on several occasions until in 1894, when bacilli disappeared from the sputum, the temperature remained normal, and the physical signs indicated retrogression of the pulmonary lesions. A laryngeal tuberculous ulcer, which had appeared