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A Case for Diagnosis. Presented by Dr. Seale. (From the Barnard Free Skin and Cancer Hospital, service of Drs. Engman and Mook.)
A. K., a white girl, aged 4 years, three months prior to presentation developed a pustule on the dorsal surface of the third right finger which was cauterized by a physician. Since then numerous beadlike lesions and infected nodules had appeared along the forearm, arm and axilla. The child had been playing with a rabbit at the time the primary lesion occurred. The animal died suddenly one month later. The child had had no systemic symptoms.At presentation, a bright red lesion the size of a bean was observed on the dorsal aspect of the third right finger, slightly infiltrated and scarred on the surface. The right epitrochlear glands were also involved, some of them merely enlarged; others were fluctuant, and some showed scarring from previous incisions. Attempts