Abstract

Three cases are described in which erythema nodosum occurred during the course of tuberculosis of the cervical lymphatic glands. In each case the tuberculosis appeared to be limited to the lymphatic system. There was no evidence of bacill˦mia, and the erythema may be explained as an allergic phenomenon, connected in Case 1 with reaction to a primary infection, and in Cases 2 and 3 with an endogenous reinfection from latent tuberculosis of some standing. Additional points are: in Case 1 the occurrence of what was probably primary tuberculous ulceration of the tonsil, and in Case 2 the association of erythema nodosum with phlyctenular conjunctivitis, itself regarded as an allergic tissue reaction to tuberculosis. The therapeutic success of tuberculin in all three cases may be noted.

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