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Choroidal Tubercles: A Clue to Hematogenous Tuberculosis.

D. J. Massaro, M.D.; S. Katz, M.D., F.A.C.P.; and M. Sachs, M.D.
Ann Intern Med. 1963;58(4):735-736. doi:10.7326/0003-4819-58-4-735_3
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Unfortunately, in miliary and other forms of hematogenous tuberculosis, the diagnosis is frequently dependent upon roentgen and other laboratory data. When chest film is clear, as it may be early in the course of the disease, this diagnosis is often not considered, and crucial biopsies and culture procedures are not performed or their performance is delayed, to the patients' detriment. Furthermore, when a diffuse miliary lung lesion appears in a setting consistent with miliary tuberculosis, compatible physical findings would be helpful to make the diagnosis more secure. We have found the choroidal tubercle, which has received wide recognition in the




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