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A Case for Diagnosis. Presented by Dr. Stevens and Dr. Hasley.
E. P., a mulatto woman, aged 21, presented a scattered eruption of small papules on the face and trunk, the eyelids being involved. Also on the trunk and extremities there were many coin-sized groups of tiny follicular papules, and deep nodules were palpable beneath the skin of the arms. There was a general lymph node enlargement, and pulmonary tuberculosis had been active for nine years. The eruption and nodules were of less than five months' duration. The pathologist considered a lymph node tuberculosis.
Dr. Parkhurst: The entire clinical picture seems to be one of tuberculosis. The lesions on the face and back are apparently miliary tuberculosis of the skin; the masses felt in the arms may be nodular tuberculosis of the hypoderm, and the grouped follicular papules are lichen scrofulosorum.
Neurodermite. Presented by Dr. Schiller and Dr. Schlegelmilch.