During the clinical session of the 1931 meeting of the American Dermatological Association, a case of blastomycosis with lesions of a nodular type was presented which brought forth a discussion from several members of the association concerning the mode of extension of the disease and the manner of dissemination of the blastomycetes through the body. Ormsby1 stated that although he had seen many cases of blastomycosis in which dissemination was by way of the blood, he had never seen a case in which it was conclusively demonstrated that extension had been by the lymph stream. Weidman2 stated that blood-borne extension is the rule, but he believed that it was possible for the disease to spread through the lymphatics. During the earlier investigations, Montgomery3 found blastomycetes and changes in the lymph nodes in a systemic case coming to autopsy. Ormsby,4 also in a systemic case, reported the
ROBINSON HM. BLASTOMYCETIC DERMATITIS BY LYMPHATIC EXTENSION. Arch Derm Syphilol. 1933;28(2):219–221. doi:10.1001/archderm.1933.01460020073012
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