A Case for Diagnosis (Leukemia? Leprosy?). Presented by Dr. Henry D. Niles.
J. D., a man aged 48, born in Greece, was first seen at the Skin and Cancer Unit of the New York Post-Graduate Medical School and Hospital on March 20, 1941. His eruption began eighteen months ago, shortly after he returned from a trip to Greece, with a lesion on the forehead. The lesions on the right ear and the wrist appeared later.In the middle of the lower part of the forehead just above the root of the nose is a dull red, irregular, raised, infiltrated lesion about the size of a bean. The lobe of the right ear is red, swollen and indurated, and the overlying skin is tense and thin and in one area covered with a granulomatous verrucous growth. There is a walnut-sized firm raised bluish red lesion on the dorsum of the right