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A Case for Diagnosis (Tuberculosis Verrucosa Cutis? Verruca Vulgaris?). Presented by Dr. C. L. Cummer and Dr. C. G. LaRocco.
T. M., a Negro aged 27, presented from the department of dermatology and syphilology of St. Vincent Charity Hospital, has an irregular scar situated in the median line about 2 cm. above the tip of the nose. At the upper pole is a verrucous lesion about 1 cm. in diameter, surrounded by a slightly elevated border.The patient states that he had had a wart or mole on the tip of the nose for several years. In August 1940 he scraped it, as a result of a fall. This was followed by a scar and the appearance of the growth.The Wassermann reaction of the blood was negative, but because of a positive Kline reaction of the blood antisyphilitic treatment was administered and resulted in no change in the lesion.