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Tertiary Syphilis. Presented by Dr.Lester Hollander.
T. S., a man, aged 35, married, presented a disseminated eruption on the forehead. It was composed of small papules, scars and pigments, and gave the appearance of folliculitis. On the nose the eruption was yellowish and nodular; it affected the anterior nares, extending down and involving the entire upper lip. When it first appeared the condition resembled lupus vulgaris.
On the arm, the trunk and the legs the lesions were dark red with circinate borders. Atrophy was also noted. The neck presented pigmentation (leukoderma colli). The Wassermann and the Kahn reactions of the blood were four plus. The patient was presented on account of extensive cutaneous manifestations of tertiary syphilis.
Dr. Udo J. Wile, Ann Arbor, Mich.: I agree with the diagnosis of a typical nodular syphilid of the face, but would like to call attention to the unusual irregular
Fiscus JH, Willard L. PITTSBURGH DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1931;24(2):335–339. doi:10.1001/archderm.1931.01450010342021