Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


In children who run about barefooted in towns, tubercle may be
inoculated into wounds in the sole or about the toes, and although the
local appearances may not be characteristic, the nature of the infection
is revealed by its tendency to spread up the limb along the lymph
vessels, giving rise to abscesses and fungating ulcers in relation to
the femoral glands.


#Tuberculous Lupus.#--This is an extremely chronic affection of the
skin. It rarely extends to the lymph glands, and of all tuberculous
lesions is the least dangerous to life. The commonest form of
lupus--_lupus vulgaris_--usually commences in childhood or youth, and is
most often met with on the nose or cheek. The early and typical
appearance is that of brownish-yellow or pink nodules in the skin, about
the size of hemp seed. Healing frequently occurs in the centre of the
affected area while the disease continues to extend at the margin.

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