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E. H., a young man, aged about 23, presented himself for treatment with a typical chancre on his lower lip. He gave a history of having a "cold sore" on his lip, and had become inoculated about a month or so before, by kissing. The disease is directly traceable to a woman who had syphilitic mucous patches on the inside of her lips. Dr. L. F. Jermain saw the patient also, and we made the diagnosis principally from the secondaries and the history of the case, examination for spirochetes not being deemed necessary.
The cervical and sublingual glands were swollen and nodular, and small papular eruptions were beginning to appear on the patient's face. He had received no treatment before he consulted me, which was on Oct. 24, October 24 shows.
CAFFREY AJ. SODIUM CACODYLATE IN SYPHILISREPORT OF A CASE. JAMA. 1910;55(26):2211. doi:10.1001/jama.1910.04330260019005
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