Prior to 1924, knowledge of tularemia was limited to fifteen cases observed and studied in the United States; since that time, however, the disease has been reported from practically every section of this country, the number of cases being about one thousand; in addition, it has been shown to occur in large numbers in Japan and Russia, and is probably of worldwide distribution.
Although not essentially a disorder of the skin, tularemia has attracted an active interest among dermatologists, as shown by the excellent papers of Miller and Taussig,1 Shelmire,2 Netherton3 and Belote,4 as well as by numerous more recent reports of cases. It is no longer to be regarded as a rare disease. The most frequently occurring clinical form of this condition, the ulceroglandular type, will certainly come increasingly to the attention of dermatologists, since it always begins as a lesion of the skin, a