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April 1930


Arch Derm Syphilol. 1930;21(4):660-668. doi:10.1001/archderm.1930.01440100146015

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Tuberculosis Resembling Chancre. Presented by Dr. Ormsby.  A young woman, aged 13, was presented to illustrate an uncommon type of cutaneous tuberculous. The primary lesion occurred near the inner canthus on the left side, and was first seen as an ulcer on Jan. 27, 1929, at which time it had been present for seven weeks. Coexistent with this was a marked glandular involvement of the submaxillary glands on the same side. Clinically, the disorder resembled syphilis, so a Wassermann examination was made. A careful search for spirochetes was also made, with negative results. This search continued over a period of two weeks. At the end of four weeks' observation, the crust fell spontaneously, and typical brownish lupus nodules were evident. Roentgenotherapy with general treatment directed toward the relief of the tuberculosis was employed successfully.The past history of the patient revealed suggestions of tuberculosis. She had been under observation since

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