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Article
November 1937

CUTANEOUS TUBERCULOSIS IN THE NEGRO: A CLINICAL ENTITY: REPORT OF TWO CASES (ONE ASSOCIATED WITH SYPHILIS)

Author Affiliations

NEW YORK

From the Department of Dermatology and Syphilology, New York University College of Medicine, and the service of dermatology and syphilology of Bellevue Hospital (Services of Drs. Howard Fox and E. R. Maloney).

Arch Derm Syphilol. 1937;36(5):937-951. doi:10.1001/archderm.1937.01480050003001
Abstract

Many dermatoses assume an appearance in the Negro at variance with that in the white man. This is due to the Negro's greater tendency to hyperpigmentation and fibrosis and to different immunologic conditions. The difference in cutaneous manifestations is particularly noticeable in cutaneous tuberculosis. The difference in immunobiologic conditions is seen in the greater susceptibility of the Negro to tuberculosis in general, as shown by Dublin1 and Opie2 and by the mortality statistics of the United States Department of Commerce.3 It has been corroborated by Pinner and Kasper,4 who observed in a series of 500 autopsies that hematogenous metastases, exclusive of miliary tuberculosis, occur twice as often in the Negro as in the white man. The latter finding seems to be confirmed by a form of generalized tuberculosis of the skin in the Negro, cases of which have been reported frequently in the literature and presented

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