Abstract
IT IS the purpose of this paper to present observations concerning the primary pustular lesions of cutaneous diphtheria. The importance of early recognition of this disease is undisputed. Delay of a week in diagnosis, and consequently in specific treatment, may mean delay of a month in recovery. The pustular lesion has been mentioned previously in the literature, but its importance has not been sufficiently stressed; if recognized it will materially aid the early diagnosis of cutaneous diphtheria. Concerning the pustular lesion, Livingood and his co-workers<sup>1</sup>said, "It is reasonably certain that the lesions in some individuals had their onset<i>de novo</i>in precisely the same manner as an ordinary impetiginous pustule." Cameron and Muir,<sup>2</sup>in discussing acute cutaneous diphtheria, said, "The first clinical sign in such cases was a small blister or pustule centered around a hair follicle; after rupture a flat shallow sore developed with base almost
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