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Erythema Induratum Without Ulceration. Presented by Dr. Maurice J. Costello.
P. M., a Puerto Rican woman aged 27, is presented from the Dermatologic Clinic of Bellevue Hospital with an eruption involving the thighs and the lower third of each leg of about one year's duration. The patient had pulmonary tuberculosis ten years ago, but she states that a recent roentgenogram of her chest showed arrested pulmonary disease, and examinations of the sputum did not reveal tubercle bacilli. Her menses are normal. A brother and sister died of tuberculosis.
The patient states that her eruption began as small red papules which were painful and frequently broke down and drained pus. (This was not verified in the four months the patient has been under observation in this clinic.) The lesions become painful when she arises each morning and also on exposure to cold.
The eruption is present on the lower thirds