The dermatologist is occasionally asked to determine the relation between an industrial injury and chronic granuloma. In most instances the connection is only coincidental. A few cases are observed in which the relation must be seriously considered.
I recently examined the records of 3,000 patients whom I have seen in the past ten years for various carriers of insurance. They were referred for an opinion in regard to the industrial responsibility for their eruptions. In this group were 26 patients with chronic granuloma, 12 with syphilis, 9 with cutaneous tuberculosis, 1 with blastomycosis, 1 with actinomycosis and 3 with leprosy. From my experience with such cases and from pertinent findings in the literature I shall attempt to formulate conditions which must be present to ascribe chronic granuloma, either in full or in part, to an industrial injury.
SYPHILIS
An increasing number of patients with syphilis are receiving compen