Abstract The unusual problem of dermatitis nodularis necrotica was described by Werther1 in 1910. Duemling2,3 presented a case in 1929 with an extensive review of the literature, and another in 1935 before this Society. Other patients have been reported by Eichenlaub,4 Nieman and Wise,5 and Bernstein.6 The patient of Nieman and Wise died of a lymphosarcoma. The association of dermatitis nodularis necrotica with lymphosarcoma was apparently fortuitous because no other reported patients with dermatitis nodularis necrotica have had lymphosarcoma. Duemling's review3 pointed out two groups of cases of dermatitis nodularis necrotica—those with proved tuberculosis and those without demonstrable tuberculosis. The patient reported today falls into the latter group, although he stated a sister died of pulmonary tuberculosis. The emphasis in this presentation will be on problems in relation to treatment, nosology, and the peculiar sensitivity present in References 1. Werther, J.: Dermatitis Nodularis Necrotica, Ikonographia Dermatologica, 1910, p. 213. 2. Duemling, W. W.: Dermatitis Nodularis Necrotica , Arch. Dermat. & Syph. 21:229 ( (Feb.) ) 1930. 3. Duemling, W. W.: Dermatitis Nodularis Necrotica , Arch. Dermat. & Syph. 33:99 ( (Jan.) ) 1936. 4. Eichenlaub, F. J.: Dermatitis Nodularis Necrotica , Arch. Dermat. & Syph. 22:681 ( (Oct.) ) 1930. 5. Nieman, H. A., and Wise, F.: Dermatitis Nodularis Necrotica , Arch. Dermat. & Syph. 40:560 ( (Oct.) ) 1939. 6. Bernstein, E. T.: Dermatitis Nodularis Necrotica , New York J. Med. 40:727 ( (May) ) 1940. 7. Balog, P.: Benign Embolic Pyemid , J. Invest. Dermat. 5:107 ( (June) ) 1942. 8. Gougerot, H.: General Remarks on the Nosography, Etiology, Pathogenesis and Prognosis of the Nodular Dermatitides , Bull. Soc. franç. dermat. et syph. 39:1618, 1932. 9. Marshall, J., and Pepler, W. J.: Nodular Dermal Allergide , S. African M. J. 27:160 ( (Feb.) ) 1953. 10. Ruiter, M.: Allergic Cutaneous Vasculitis , Acta Dermat-venereol. 32:274, 1952:4. 11. Ruiter, M.: A Case of Allergic Cutaneous Vasculitis (Arteriolitis Allergica) , Brit. J. Dermat. 65:77 ( (March) ) 1953. 12. Kesten, B., and Jackson, E.: Nodular Dermal Allergide (Gougerot) , A. M. A. Arch. Dermat. 72:194 ( (Aug.) ) 1955. 13. Kesten, B.: Personal communication to the author. 14. Rostenberg, A., Jr.: The Shwartzman phenomenon: A review with a consideration of some possible dermatologic manifestations , Brit. J. Dermat. 65:389 ( (Nov.) ) 1953.
A.M.A. Archives of Dermatology – American Medical Association
Published: Mar 1, 1957