Portfolio of Dermochromes,

Cover Portfolio of Dermochromes,
Portfolio of Dermochromes,
Jacobi, Eduard, 1862-1915
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Fig. 18).
Sometimes lupus exists secondarily to tubercular diseases of other tissues, more especially to old-stand- ing affections of bones or glandular fistulae, in which case the lupus nodules are generally present in cica- trices in the immediate neighbourhood of these lesions.
The Diafi^nOSiS of Lupus vulgaris is not difficult if typical nodules are present, especially when the part is examined by pressing a glass or lens on it, the nodules being thereby rendered manifest by the ex- pressio
...n of the hyperaemia which conceals them. The result of exploration with a probe confirms the diagnosis. As nodules cannot be demonstrated in all phases of the disease, its extremely chronic course is worthy of special notice. Sjrphilis produces much more extensive and deeper lesions in a much shorter time. Other points of importance are — the onset of the 19 Digitized by Google msjady generally in youth, the absence of paui and lastly, the reaction to Koch's original tuberculin, which is an absolutely certain criterion.

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