A Case for Diagnosis (Deep Fungous Infection?). Presented by Dr. Harry L. Arnold, Jr., Honolulu, Hawaii.
K. M., a 27 year old Japanese laborer, was first seen on Dec. 30, 1944, because of a group of lesions about the left knee, present and spreading slowly since he received a cane knife cut there at the age of 10.
Examination disclosed multiple irregular depressed atrophic scars about the left knee and several rubbery hard, subcutaneous masses, 2 to 5 cm. in diameter, above the knee. There was no redness or tenderness. There was one shallow crusted ulcer, 3 mm. in diameter.
The hemogram was normal. The urine was normal. Serologic tests for syphilis (Kolmer-Wassermann and Eagle) elicited negative reactions on two occasions. Roentgenograms of the knees showed no bony abnormality. Pus obtained on two occasions, by deep aspiration of one of the masses and by opening a superficial pustule, gave no
Wayson JT, Arnold HL. HAWAII DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1946;54(3):359–365. doi:10.1001/archderm.1946.01510380106017
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