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Case for Diagnosis (? Tuberculosis)

Dr. PRINGLE: I venture, with some confidence, to suggest that this is a tuberculous affection of the skin. The scars of the healed lesions, the spreading disease on the foot, and the outlying lesions on the forehead and other parts appear to me to be deposits in the true skin presenting all the characteristics of tuberculous tissue. I do not know whether the von Pirquet test has been done, but in the absence of syphilis, which the objective characters do not suggest to me, I do not see what else the disease can be.