Since Werther's1 first description of an unusual cutaneous disorder under the title "Dermatitis Nodularis Necrotica" in 1910, there have appeared in the literature reports of thirty additional cases. All except the last four were reviewed by me in 1929, at which time a case was added.2 At that time there seemed to be considerable confusion as to the etiology and proper classification of these cases. In the majority there was evidence of tuberculosis, either histologically in the cutaneous lesions or otherwise clinically in the patients. In nine cases there was no evidence of tuberculosis. It was my impression that in the latter group the disorder may have had its basis in a septic or embolic process. This idea was based on the clinical course and histologic observations in my case, as well as on the constant finding of a streptococcus in the lesions and the lymph glands. That