Tuberculosis of Axillary Lymph Node; Phlyctenular Keratitis; Lichen Scrofulosorum; Papulonecrotic Tuberculid; Erythema Induratum. Presented by Dr. Harry L. Wechsler (by invitation).
L. D., a Puerto-Rican girl aged 15, is presented from New York City Hospital with non-painful, ulcerated, indurated, erythematous lesions of the calves of the legs, of two months' duration; and a slightly pruritic, grouped, papular eruption of the neck, extremities, and abdomen of one week's duration.The patient was admitted to New York City Hospital on March 3, 1950. She had enjoyed good health until five years ago, when acute conjunctivitis of the right eye developed that subsided spontaneously. This recurred three and one-half years ago when the patient was hospitalized in another institution for 109 days because of a chronic draining abscess and a mass in the left axilla that failed to heal after surgical incision. Night sweats and anorexia were accompanying symptoms. Guinea-pig inoculation revealed that