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Lupus Vulgaris. Presented by Dr. Stanley Huff.
Dr. H. E. Michelson, Minneapolis: Papulonecrotic tuberculid is not common. In fact, it is an extremely rare disease, and I believe one gets a false impression, because the same patients are seen over and over again. Even in Berlin, from whence a recent report tabulated some 500 cases of tuberculosis of the skin treated, there were only 3 cases of necrotic papular tuberculid. In the patients shown, I was inclined to disagree with the diagnosis, because the lesions were not distinctly hard papules with central necrosis, and the microscopic section did not show the tuberculoid structure that one almost must find to verify the diagnosis.
Dr. Adolph Rostenberg: I should like to make a few comments about the first case. One might raise two general questions: What is the diagnosis in this case, and what are papulonecrotic tuberculids ? I think Dr. Michelson
Webster JR, Neuhauser I. CHICAGO DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1953;68(4):456–462. doi:10.1001/archderm.1953.01540100096014
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