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Tuberculosis Orificialis. Presented by Dr. Maurice J. Costello.
E. H., a married woman aged 38, from St. Joseph's Hospital for Consumptives, had a sore on the floor of her mouth about three years ago. She had a cough at that time. A physician at the New York University Clinic performed a biopsy of the lesion, which showed a tuberculous structure. A roentgenogram of the chest showed pulmonary tuberculosis, which is now controlled by pneumothorax on the left side.
The oral lesion is nickel sized, oval and crateriform with a rounded, elevated border. The center of the lesion is ulcerated and is covered with a grayish exudate. There is some limitation of motion of the tongue due to adhesion to the floor of the mouth. There is tenderness and moderate pain when hot or spicy foods are eaten.
There is also a scar on the left side of the neck which
Lewis GM, Sachs W. MANHATTAN DERMATOLOGIC SOCIETY. Arch Derm Syphilol. 1946;53(5):525–532. doi:10.1001/archderm.1946.01510340091015
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