Erythema Induratum. Presented by Dr. Parkhurst.
Mrs. G. B., aged 28, a housewife, had had the condition for nine years, the legs being affected, especially on their posterior aspects. There were several medium coin sized erythematous and indurated patches, and many large coin to palm sized scars at the sites of healed ulcers. There was a large coin sized, ragged ulcer on the middle third of the calf of each leg. At various times, different local applications, roentgen rays, ultraviolet rays, rest in bed, and cod liver oil internally had been used with more or less apparent benefit, but there were always occasional exacerbations, during which new, tender nodules appeared.
Dr. Wile: Considering this as an embolic tuberculous process, I would recommend a search for a focus of tuberculosis. In a case which I saw recently, the lesions disappeared after the removal of a calcified cervical lymph node.Dr.