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(Chest. 1956;30:326-337.)
© 1956 American College of Chest Physicians

Tuberculosis of Superficial Lymph Nodes

JAMES L. GERMAN M.D.1; THOMAS C. BLACK M.D., F.C.C.P.2; and JOHN S. CHAPMAN M.D., F.C.C.P.3

1 Veterans Administration Hospital, McKinney, Texas—Now with U.S.P.H.S.
2 The Tuberculosis Service, Veterans Administration Hospital, Alexandria, Louisiana.
3 Department of Internal Medicine, The University of Texas Southwestern Medical School.

1. Lymphatic tuberculosis follows well known pathways to proximal nodes. The relation between underlying disease and location of the tuberculous node is demonstrated and it is shown that lymphatic dissemination is closely related to subsequent hematogenous disease.

2. Search of the literature fails to give conclusive evidence of the value of any single form of therapy. Particularly lacking is longterm follow-up of significant numbers of patients.

3. On a speculative basis a method of therapy adapted to the specific local disease is offered. Basic to this program is prolonged administration of isoniazid and PAS.






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Copyright © 1956 by the American College of Chest Physicians.