DICK AND SYME SYNDROME (PERFORATING GRANULOMA-ANNULARE, EPISCLERITIS,EOSINOPHILIA, POSITIVE REACTION TO INTRADERMAL TUBERCULIN) - A NEW ENTITY

We report a case of ''Dick and Syme syndrome'' in a 44-year-old woman. The syndrome was characterized by multiple perforating granuloma annu lare on the hands, left idiopathic nodular episcleritis, eosinophilia and positive reaction to intradermal tuberculin, without symptoms or s igns of tuberculosis. This case, the second reported in the literature after the original one described by Dick and Syme in 1982, would conf irm than the above-mentioned tetrad is not accidental but constitutes a distinct entity.