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DISSEMINATED MILIARY TUBERCULOSIS OF THE SKIN:  AN IMPORTANT SIGN IN GENERAL MILIARY TUBERCULOSIS OF INFANCY

WILDER TILESTON, M.D.
Arch Intern Med (Chic). 1909;IV(1):21-31. doi:10.1001/archinte.1909.00050170026003.
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The purpose of this article is to call attention to the occurrence in infantile miliary tuberculosis of a skin eruption, which, although occasionally described in the past, is rarely alluded to in the current text-books of medicine and pediatrics, and is apparently seldom recognized by the profession. And yet this rash is fairly common in the tuberculosis of infancy, and at that age is almost pathognomonic of general miliary tuberculosis. It consists of scattered discrete papules, which at the beginning are the size of pin-heads, and are soon capped by tiny vesicles with cloudy or purulent contents. Later on, the vesicle ruptures or dries up, and its place is taken by a crust. It is this stage which is most characteristic. The lesion is now 2 to 3 millimeters in diameter; that is to say, about the size of a rose spot in typhoid fever, and consists

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