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Tuberculosis (Hematogenous) of the Face. Presented by Dr. S. W. Becker and Dr. M. E. Obermayer.
This woman, aged 35, of American descent, gave the following history when she was first seen by us in July 1934: Nineteen years ago an eruption appeared on the face, and it has never completely disappeared since. The lesions were multiple papules; the patient says that at first they looked like "boils" and had a crusted center but that later they changed to what they are now, namely, firm and prominent brownish nodules, varying from about 0.5 to 1 cm. in diameter, some of them distinctly translucent, irregularly distributed over the whole face. This eruption started during the summer and was aggravated every summer after exposure to the rays of the sun, when the lesions became more prominent. Also, for many years in the summer erythematous patches developed on the exposed surfaces of the