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Keratosis Blennorrhagica. Presented by Dr. Frank C. Combes.
C. V., a Negro aged 42, is presented from Bellevue Hospital with a history of having had gonorrhea 11/2 years ago. On admission he had a purulent urethral discharge; fever; pain, swelling, and tenderness in both hips and ankles and the right knee and right shoulder, and difficulty in ambulation. On the eyebrows, nose, scalp, and upper part of the trunk were patches of rupial crusts and pea-sized to larger waxy papules. Many of the papules were discrete, while others had fused to form gyrate and annular patterns. On the lower lumbar area and the right leg from the midcalf to the ankle were thick, horny plaques.
Many of the lesions disappeared while the patient was given antibiotic therapy with penicillin and oxytetracycline (terramycin®) combined with vitamin A. On Sept. 12 both antibiotic drugs were discontinued. Within a week or so
Cipollaro AC, Miller JL. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. AMA Arch Derm Syphilol. 1953;67(1):107–112. doi:10.1001/archderm.1953.01540010111022