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November 1943


Author Affiliations


From the Central Clinic, Bureau of Social Hygiene, Department of Health, New York.

Arch Derm Syphilol. 1943;48(5):494-496. doi:10.1001/archderm.1943.01510050018002

Bubonulus is the term applied to a lymphangitic abscess which occasionally occurs in chancroidal infection and lymphogranuloma venereum. It is important to note that this lesion occurs along the course of a lymphatic vessel in a location where no lymph glands are present. At times suppuration occurs simulating a bubo. In 1940, Brandt1 reported 3 cases of lymphogranuloma venereum in which bubonuli were present. Somewhat similar lesions have also been described as occurring in tuberculosis and in tularemia.1

The usual concept of granuloma inguinale is that it is a disease which involves the skin alone and spares the lymphatic system. In rare instances involvement of the lymph nodes by way of the regional lymphatic drainage has been reported.2 However, to our knowledge true bubonuli have not been reported in granuloma inguinale. In our clinic a considerable number of patients with granuloma inguinale have been treated, but lymphatic

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