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Tuberculosis Miliaris Disseminata Faciei. Presented by Dr. Fred Wise.
M. B., a man aged 42, was previously presented before the Manhattan Dermatologic Society on April 11, 1944 by Dr. Max Scheer for diagnosis and with a questioned diagnosis of dermatitis medicamentosa due to bromides. The patient later denied that he had taken Bromoseltzer.
Subsequent investigation showed that the sedimentation rate was 7 mm. per hour. An intradermal injection of old tuberculin, in a concentration of 1 to 5,000, elicited a negative reaction. A roentgenogram of the chest showed "thoracic asymmetry from marked rotary curvature of the dorsal portion of the spine and central tubercle scars of old puerile type."
A nodule removed from the face was diagnosed by Dr. Charles F. Sims as tuberculosis cutis. In describing his observations, he said that the epidermis was somewhat flattened, with obliteration of some of the rete pegs. A
Cannon AB, Andrews GC. NEW YORK DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1945;52(3):203–209. doi:10.1001/archderm.1945.01510270061021
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