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February 24, 1906


Author Affiliations

Surgeon to the Out-Patient Department of the Episcopal Hospital. PHILADELPHIA.

JAMA. 1906;XLVI(8):584. doi:10.1001/jama.1906.62510350034003a

Patient.  —R. E., aged 40, applied to the surgical dispensary of the Episcopal Hospital April 20, 1904, for treatment of his left foot.

Examination.  —The foot was moderately swollen, with two areas of superficial ulceration on the dorsum, and with the middle toe the seat of a swelling so typical of syphilitic dactylitis as seen in the fingers, that the specific nature of the lesions was readily determined. The patient stated that the ulcerations of the dorsum of the foot had persisted more or less in their present form for a period of eighteen months and that the toe had been in its present state for about six months. He had tried various salves and ointments, but so far no form of application had proved of any avail. On further inquiry it was learned that twelve years previously the man had had a sore on the penis, which, although accompanied

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