Rosacea-Like Tuberculid of Lewandowsky. Presented by the Staff of the University Hospital.
The patient was a 34-year-old woman. She was born in a village outside Paris, France. She developed an erythema over the zygomatic area of the face in 1953. The eruption gradually spread to involve the cheeks and bridge of the nose. Progression was interrupted temporarily when she had a thyroidectomy in November, 1955, for toxic goiter.
Physical examination revealed a discretely outlined eruption consisting of erythema and papules over the fleshy areas of the cheeks and the bridge of the nose. "Apple jelly" nodules were present on diascopy. The chest x-ray was negative. The skin test to O. T. 1:10,000 was positive. The pathological sections showed epithelioid foci suggestive of young tubercules, supporting a diagnosis of a tuberculid.
Treatment has consisted of 100 mg. isonicotinic acid hydrazide twice daily.
Dr. Franz L. Blumenthal: This is a
Pinkus H, Palmer A, Eyster WH. DETROIT DERMATOLOGICAL SOCIETY, UNIVERSITY HOSPITAL MEETING, UNIVERSITY OF MICHIGAN. AMA Arch Derm. 1957;76(5):668. doi:10.1001/archderm.1957.01550230134020
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