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Tertiary Syphilis, Gummas of the Skin, Hepatitis, Splenomegalia, Hemiplegia and Osteitis of the Right Humerus. Presented by Dr. W. H. Conner.
This white man, aged 55, from the Cleveland City Hospital, had a right hemiplegia at the age of 33, from which he had partially recovered at the end of three months. Since then his general health had been good until six months ago, when an ulcer developed over the upper portion of the sternum following a slight trauma. Two weeks later a swelling developed over the upper outer third of the right humerus which eventually broke down, producing ulceration. During the past year the patient has noticed gradual enlargement of the upper portion of the abdomen.There is now a crusted, indurated, serpiginous, ulcerative lesion on the sternum in the region of the right clavicular joint. On the outer surface of the upper third of the right arm there
Driver JR, Littman S. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1934;30(5):719–726. doi:10.1001/archderm.1934.01460170111015