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Atypical Mycobacterial Infection, Erythemato-Papular Type. Presented by Orlando Canizares, MD, and John Fromer, MD.
This 51-year-old white man was seen six months ago with a papular eruption of 10 days' duration, involving the face, chest, and upper extremities, following exposure to sunlight. The history revealed a partial gastrectomy for ulcers in 1964 and recurrent attacks of herpes simplex labialis. The differential diagnosis included erythema multiforme, polymorphous light eruption, and possibly lupus erythematosus. A hemogram was within normal limits and a lupus erythematosus preparation was negative. Two weeks later the eruption was more profuse. As the patient was moving to Boston he was referred to Dr. Fromer at the Lahey Clinic.Initially the papules were bright red, dome-shaped, and varied from 0.5 to 1 cm in diameter. There was slight pruritus. The mucous membranes were normal. Two weeks later the eruption was considerably worse. Some of the papules reached almost 2
NEW YORK DERMATOLOGICAL SOCIETY. Arch Dermatol. 1969;100(6):777–779. doi:10.1001/archderm.1969.01610300127028