The following brief report is submitted because an apparent cure has been obtained in a case of coccidioidal granuloma by the combined use of tartar emetic intravenously and roentgen rays locally. On May 26, 1926, at the annual meeting of the Pittsburgh Dermatological Society we1 presented a patient with coccidioidal granuloma with the following history. REPORT OF CASE A man, aged 36, pricked the thumb of his right hand with a cactus thorn while under treatment for tuberculosis at San Diego, Calif. A few days later, an inflammatory swelling was noticed at the site of injury, which later softened and was incised, draining a moderate amount of pus. Gradually, a row of nodules developed to the shoulder, each undergoing a course similar to the first lesion. About six months later, a large, rather firm, inflammatory mass involving the right knee developed. This broke down, forming numerous sinuses, and three