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Papulonecrotic Tuberculid. Presented by Dr. Gerald F. Machacek for Dr. Charles F. Post.
S. J. P., a 64-year-old white man, first noted the appearance of scattered, slightly painful nodules on the arms and legs about six months ago. A few of the lesions healed spontaneously but others continued to appear. The patient stated that there was a slight discharge from many of these areas.
Examination showed a well-developed, well-nourished man who appeared somewhat younger than his stated age. Scattered over the dorsal surfaces of the arms and legs were numerous pea- to marble-sized brownish, red nodules. Most of the lesions showed central crusting, from beneath which a small amount of purulent material could be expressed.
A complete blood count was normal, as was the fasting blood sugar. The Wassermann reaction of the blood was negative. Examination of the urine gave negative results. Roentgenograms of the chest were normal. The