The patient whose history is herein recorded was under observation at the United States Veterans Hospital in Washington. At the time of his recent discharge a definite diagnosis had not been made, but the case coincides so closely with that described as "dermatitis nodularis necrotica," by Duemling,1 that I believe recording an additional case might be of some value.
REPORT OF CASE
History.—
The patient was a white man, aged 32. The family history was unimportant, and there was no record of skin disease, tuberculosis or cancer in the family. The patient's grandparents and parents were living and well. The patient had typhoid fever in 1919 and measles in 1922. He said that he had never had a venereal disease. In 1924, he first noticed a red spot in the right instep. This soon became an ulcer and caused a burning sensation. During the next few months, similar spots