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Rosacea-Like Tuberculosis of the Skin. Presented by Dr. Elmer M. Rusten, Minneapolis.
Mrs. L. F., aged 27, first noticed an erythematous scaly eruption on her face during the winter of 1935. By the next spring the eruption had become more noticeable and extensive. She has received ten injections of gold sodium thio-sulfate since she came under observation, in September 1936, but only slight improvement has resulted.The eruption involves the forehead, the malar eminences, the nose and the chin and consists of numerous grouped brownish red papules, some of which are follicular. Some of the lesions have become pustular, and the areas involved are erythematous and show a slight scale. The papules do not disappear on pressure with the diascope.The Wassermann and the Kline test and a test with a 1:1,000 dilution of tuberculin were negative. A histologic section is shown.
DISCUSSION
Dr. H. E. Michelson, Minneapolis: I have felt for some time that rosacea-like tuberculid is a poor term.