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July 1934


Arch Derm Syphilol. 1934;30(1):122-135. doi:10.1001/archderm.1934.01460130130018

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Tuberculosis Cutis (Orificialis). Presented by Dr. F. D. Weidman and Dr. R. L. Gilman.  T. B., a white man aged 51, about three months ago noticed a small "boil" near the anus from which pus was discharged. A biopsy was done on Nov. 1, 1933, and the lesion failed to heal. On November 25, a biopsy was done in the Philadelphia General Hospital and reported as showing "ulcerative tuberculous proctatitis." The patient presents an ulcer 2 cm. in width involving the epithelium posterior to the anal canal and extending into the rectum. At the edge of the ulcer is a border of erythema about 0.5 cm. wide. The floor is covered with granulation tissue, and there is a thin layer of mucopurulent discharge. The patient has fibro-ulcerative tuberculosis of the upper lobe of the right lung with broncho genic spread to the left lung shown by roentgen examination. He has

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