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Article
May 1944

PAPULONECROTIC TUBERCULID IN THE NEGRO: ITS CLINICAL RESEMBLANCE TO ACNE VULGARIS AND EARLY SYPHILIDS

Author Affiliations

NEW YORK

From the Department of Dermatology and Syphilology, Harlem Hospital, Dr. Oswald La Rotonda, Medical Director.

Arch Derm Syphilol. 1944;49(5):351-354. doi:10.1001/archderm.1944.01510110049012
Abstract

Papulonecrotic tuberculid is the most common type of tuberculid in the Negro, and its incidence is relatively high. The superficial type far exceeds in frequency the nodular, but both may develop concurrently on the extremities and on the female genitals.

Superficial papulonecrotic tuberculid is often confused with acne vulgaris when the eruption is confined principally to the face. The lesions also have a tendency to develop in the perianal region and on the genitals, and here the clinical similarity to primary and secondary syphilids is notable.

REPORT OF A CASE

An unmarried Negress aged 30, mother of two children, sought relief for a facial and a genital eruption which had been present for six weeks and three weeks respectively. The lesions were noticed first about two months after the birth of her second child. There was no familial history of tuberculosis. The patient had never received treatment for a

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