A married woman, aged 35, came to my clinic at the Manchester Skin Hospital in August, 1929, during my absence, and was seen by an assistant, who naturally made a diagnosis of secondary syphilis. The Wassermann reaction was negative, and the rash increased in intensity and area in spite of vigorous antisyphilitic treatment. When I saw the patient on my return, I found that she presented on the trunk and flexor aspects of the arms a maculopapular eruption that simulated in a marked degree a maculopapular syphilid. Her general appearance, however, was that of a perfectly healthy person. There was no general adenitis, headache
Eruption on the trunk and arms. or other symptom suggestive of venereal infection. The patient said that she had had a sore throat shortly before the eruption appeared, and in the left cervical region some enlarged lymphatic glands could be appreciated. The fauces showed slight congestion.
SAVATARD L. PITYRIASIS LICHENOIDES ET VARIOLIFORMIS ACUTAREPORT OF A CASE. Arch Derm Syphilol. 1932;25(1):132–133. doi:10.1001/archderm.1932.01450020140014