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Article
January 1950

GRANULOMA PAPULONECROTICUM OR PAPULONECROTIC TUBERCULID: Report of a Case

Author Affiliations

PITTSBURGH

From the Department of Dermatology and Syphilology, University of Pittsburgh.

Arch Derm Syphilol. 1950;61(1):108-111. doi:10.1001/archderm.1950.01530080114012
Abstract

Macleod and Ormsby,1 Leiner and Spieler,2 Whitfield,3 Gougerot and Laroche4 and others reported finding tubercle bacilli in lesions of papulonecrotic tuberculid, as determined by both animal inoculation and study of slides. Pollitzer,5 Brault,6 Gaucher,7 Messa,8 Ledo,9 MacKee10 Elliott,11 Guy12 and many other careful investigators presented evidence against tuberculosis as the cause of the condition. Opinions of contemporary writers are quite as confusing as those of the aforementioned authors. It would seem advisable to adopt the term granuloma papulonecroticum, as suggested by Pollitzer, because it becomes apparent that the clinical picture may occur as a tuberculous manifestation or independently of tuberculosis. The following case is reported because of findings contrary to the tuberculous theory of its genesis and an apparent cure resulting from the intracutaneous administration of a bacterial antigen.

REPORT OF CASE

A man, 24 years

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