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Papulonecrotic Tuberculid. Presented by Dr. Frederick Reiss.
F. C., a woman aged 33, was first observed in the dermatologic clinic of the New York Hospital on Oct. 21, 1937 with erythema induratum, which subsequently healed. At that time the patient was being treated for advanced pulmonary tuberculosis with bilateral pneumothorax. She returned in September 1945 with lesions on the lobe of the right ear and the scalp, of six months' duration.On the lobe of the right ear there are two depressed, hyperpigmented scars and three or four inflamed papules with a necrotic top. Several similar lesions are scattered over the scalp. There are no changes on the extremities.Roentgenographic examination on Oct. 5, 1945 gave evidence of residual pleural thickening throughout both sides of the thorax, more noticeable in the apexes, from reexpansion after pneumothorax, and a fibrocalcific tuberculous process in the upper lobe of the right lung and
Robinson LB, Peck SM. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1947;56(4):542–550. doi:10.1001/archderm.1947.01520100138026
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