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May 1927


Arch Derm Syphilol. 1927;15(5):632-637. doi:10.1001/archderm.1927.02370290107011

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A Case for Diagnosis. Presented by Dr. E. R. Seale. (From the Barnard Free Skin and Cancer Hospital, service of Drs. M. F. Engman and W. H. Mook.)

M. J., a white girl, aged 17, presented a lesion on the left leg of four years' duration, during which time it had become ulcerated, with subsequent healing. It had undergone this process several times. There were no subjective symptoms. Examination revealed an elevated lesion about 2 cm. in diameter on the medial surface of the left leg immediately above the ankle. The lesion was deep purple except the central portion, which was lighter, thickened, and dotted with minute crusts. There was slight induration of the lesion. The inguinal glands were not enlarged.

DISCUSSION  Dr. Zwick (Cincinnati): Without a definite history of tuberculosis or a laboratory report, I would attempt only a tentative diagnosis of tuberculid.Dr. Tobias: There is evidence in

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