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September 1942


Author Affiliations


From the Mallory Institute of Pathology of the Boston City Hospital and the Medical Clinic of the Peter Bent Brigham Hospital.

Arch Intern Med (Chic). 1942;70(3):396-415. doi:10.1001/archinte.1942.00200210051004

Syphilitic disease of the aorta may occur in either of two forms, (a) as a productive scar-forming type of chronic aortitis or (b) as gummatous aortitis. The former is the usual manifestation of cardiovascular syphilis. Gummatous lesions of the aorta, on the other hand, are rarely observed, and this type of aortitis has not been studied extensively. It is the purpose of this communication to describe the clinical and the morphologic features of gummatous aortitis and to define the differential characteristics of this disease in relation to other diseases of the aorta.

This study was stimulated by observations made in the following 3 cases, which we are reporting in detail.

REPORT OF THREE CASES  Case 1.—C. C., a 35 year old Italian-born housewife, was admitted to the Boston City Hospital for the third time on Nov. 14, 1935. On entrance she was in a state of acute pulmonary edema, manifested

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