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December 1958

Does the Rosacea-like Tuberculid Exist?

Author Affiliations


AMA Arch Derm. 1958;78(6):681-688. doi:10.1001/archderm.1958.01560120001001

A euphonious term like ``rosacea-like tuberculid of Lewandowsky'' is so pleasing to the ear that it comes instantaneously to the mind when dermatologists see a patient who has a variety of papular lesions on his face, lesions which resemble rosacea, or which at least appear in those areas where rosacea usually occurs. Having committed themselves to the diagnosis of ``Lewandowsky's disease," they naturally must defend their diagnosis; consequently, the monotonous debate concerning the positive diascopy of the lesion, its color, and the presence of tuberculoid structure of a type similar to a lupus nodule is again indulged in. The fact that bacillary evidence is lacking, that the tuberculin reactions are negative, that there is no evidence of active, internal tuberculosis, and, most important, that the patient is entirely well and socially and economically capable does not change the self-satisfying diagnosis. These negative findings are completely ig