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December 1956

NODULAR VASCULITIS: Report of a Case with Clinical Resemblance to Papulonecrotic Tuberculid

Author Affiliations

New York

From the Department of Dermatology and Syphilology of the Harlem Hospital, Dr. Alexander Altschul, Medical Director.

AMA Arch Derm. 1956;74(6):673-675. doi:10.1001/archderm.1956.01550120093020

Montgomery, O'Leary, and Barker created the clinical entity nodular vasculitis.1 This accomplishment has created a vista through which it may be possible to identify in the future the hitherto unknown cutaneous manifestations of hypertension. Michelson's predication that "it is impossible to describe or even outline all variations which this form manifests" is obviously true.2 A plaque type of nodular vasculitis has been reported previously.3 I now wish to record an instance of a small nodular type which clinically simulated a papulonecrotic tuberculid.

Report of Case

A Negro woman aged 62 entered the clinic complaining of a painful eruption which had been present on the legs for the past three months.

There was no family or personal history of tuberculosis. For the past four years she has been injecting herself daily with 40 units of protamine zinc insulin for diabetes mellitus and for the past three years she

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