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March 1938


Arch Derm Syphilol. 1938;37(3):516-523. doi:10.1001/archderm.1938.01480090145017

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Papulonecrotic Tuberculid. Presented by Dr. Howard Fox.  Mrs. A. S., aged 49, was previously presented before this society on Dec. 15, 1936 (Arch. Dermat. & Syph.36:391 [Aug.] 1937). At that time she showed a profuse eruption of the face and, to a lesser extent, of the scalp. Opinions as to diagnosis were somewhat divided between some type of tuberculosis and acne varioliformis. About two weeks after the last presentation the eruption disappeared completely. A mild relapse occurred six weeks later, and the patient was again given intradermal injections of tuberculin, in dilutions of 1: 1,000,000, 1: 100,000 and 1: 10,000. Both local and constitutional reactions followed, the patient being confined to bed for three days. Two weeks later the eruption again disappeared almost entirely. A second relapse occurred on March 25; intradermal injections of tuberculin in dilutions of 1: 1,000,000, 1: 100,000 and 1: 10,000 were given.

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