TY - JOUR T1 - CLeveland dermatological society AU - Baskin CL, LaRocco CG, Driver JR Y1 - 1940/03/01 N1 - 10.1001/archderm.1940.01490090156022 JO - Archives of Dermatology and Syphilology SP - 604 EP - 610 VL - 41 IS - 3 N2 - Granuloma Annulare; Advanced Bilateral Cavitating Pulmonary Tuberculosis. Presented by Dr. Hal E. Freeman.  J. T., a man aged 36, presented from the Tuberculosis Division of the Cleveland City Hospital, has been under treatment for advanced cavitating pulmonary tuberculosis for several months.An eruption started in April 1939 and has continued with alternating periods of improvement and exacerbation. Symmetrically and diffusely distributed over the upper extremities, back, chest and thighs is a purplish red eruption consisting of numerous circinate lesions. Some of the lesions are annular, while others are half-moon shaped or polycyclic. All have palpable, slightly raised borders.A roentgenogram of the chest revealed a dense mottling throughout the upper lung fields and at the level of the sixth interspace bilateral tuberculous cavitation. Serologic tests for syphilis gave negative results. Sputum stained for tubercle bacilli was positive.Histologic examination of tissue showed mild hyperkeratosis, some parakeratosis and two small epidermal SN - 0096-6029 M3 - doi: 10.1001/archderm.1940.01490090156022 UR - http://dx.doi.org/10.1001/archderm.1940.01490090156022 ER -