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Article
July 1920

TWO CASES ILLUSTRATING UNUSUAL MANIFESTATIONS OF SYPHILIS1. GUMMA OF THE BLADDER 2. URTICARIAL SYPHILID

Author Affiliations

DULUTH, MINN.

From the Dermatological Department, the Duluth Clinic.

Arch Derm Syphilol. 1920;2(1):50-52. doi:10.1001/archderm.1920.02350070055007
Abstract

REPORT OF CASES 

Case 1.—  The salient features of the case are: A gummatous invasion of the bladder wall resulting in dysuria, leading to an erroneous diagnosis of gonorrhea; cystoscopic examination revealing a sharply marginated growth in the bladder wall; a positive Wassermann reaction, and prompt relief after institution of anti-specific treatment.

History.—  A woman, aged 21, first seen Sept. 10, 1919, was referred to me by Dr. J. J. Eklund. She appeared to be well nourished, was 5 feet, 2 inches tall and weighed about 130 pounds. She admitted having had gonorrhea some time previously, but denied any other infectious disease and had always been well.Her chief complaint was frequent and painful urination which had lasted for four months, continually growing worse. She had been treated for a supposedly gonorrheal cystitis with bladder irrigations and internal medication, but without benefit. The urination was more frequent at night; there

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