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Psoriasis and Deep Mycotic Infection (Sporotrichosis, Disseminated Ulcerating Type)? Presented by Dr. Thomas H. Miller.
Mrs. H. W., a white woman aged 52, acquired a tender nodule on the anterior surface of the left leg four years ago. A diagnosis of carbuncle was made by her physician, but the lesion did not heal. Gradually a patch of dermatitis developed which is still present in spite of much treatment including the maximum amount of roentgen irradiation permissible. Later a similar lesion developed on the upper part of the back. This ulcerated, formed a draining sinus and healed, leaving a scar. Similar lesions have continued to develop on the chest and back up to November 1949. In October 1949, the patient acquired red scaly plaques on the extensor surfaces of the elbows and the hands as well as thickening of the nails of the hands and feet and thick keratotic lesions on