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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
R. L. Gilman, J. P. Guequierre. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1934;30(1):122–135. doi:10.1001/archderm.1934.01460130130018