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A Case for Diagnosis. Presented by Dr. Jamieson.
E. R., a married woman, aged 30, had noticed the appearance of three lesions within the previous seven months. In the right axilla there was a small lenticular, erythematous patch, flat and apparently undergoing involution; there were no subjective symptoms. Beneath the left breast was a similar lesion, apparently more recent, and there was another in the left posterior axillary line. The latter had been present for three or four months; it was a reddish, slightly elevated granulomatous nodule, with a definite border which was somewhat suggestive of epithelioma.
DISCUSSION
Dr. Shaffer: Histologically, there is an unusual infiltration of granulomatous appearance.Dr. Parkhurst: A few flat, violaceous papules scattered elsewhere are suggestive of lichen planus.
Ulcerating Gumma of the Sole of the Foot. Presented by Dr. Schiller and Dr. Schlegelmilch.
S. S., a girl, aged 18, unmarried, was said to have had