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August 1930


Arch Derm Syphilol. 1930;22(2):354-359. doi:10.1001/archderm.1930.01440140156017

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Papulonecrotic Tuberculid. Presented by Dr. H. T. Phillips.  Mrs. C. D. S., aged 27, presented lesions over the ankles and feet that had been present at intervals for ten years. At first the lesions were flesh-colored, then they changed to a brownish red and tended to suppurate in the center, forming a depressed crust which when removed, left a scar with atrophy and pigmentation. The lesions were extremely painful and required from six to eight weeks to heal.

DISCUSSION  Dr. L. Hollander: I do not agree with the diagnosis. The patient is suffering from a chronic pyogenic infection taking the form of ecthyma.Dr. W. H. Guy: This condition looks like an erythema induration of the small lesion type.Dr. F. Amshell: The rounded, punched-out, smooth scars suggest neurotic excoriations. I should use an occlusive dressing, a zinc gelatin cast to eliminate the possibility of further trauma.Dr

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