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<p>Grade 1 - four to six <a href="page.php?w=papules">papules</a> (also considered negative)<br/>
* Grade 2 - confluent papules form indurated ring (positive)<br/>
* Grade 3 - central filling to form disc (positive)<br/>
* Grade 4 - disc >10&nbsp;mm with or without blistering (strongly positive)</p>

<p>Grades 1 and 2 could result from previous BCG or avian tuberculosis, rather than human TB infection.</p>

<p>Children who were found to have a grade 3 or 4 reaction were referred for <a href="page.php?w=X-ray">X-ray</a> and follow-up.</p>

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