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The occurrence of purpura as a complication of gonorrhŒal rheumatism has been noted so seldom that I report the following case:
March 2. Mr. B., æt. 19, milkman, with a previous history of chronic gonorrhŒa, has had an acute exacerbation since February 8; also an efflorescence on lower extremities since February 26; also pain and swelling of several joints, March 2.
On examination: penis Œdematous; purulent discharge from urethra, containing gonococci; inguinal lymph glands swollen spindle-shaped. A symmetrically distributed efflorescence of anterior and inner aspect of leg, and inner aspect of thighs extending into gluteal regions; over left ankle, the most troublesome joint, skin thickly covered; also upper extremities present a limited number about the wrists; rest of body free. The great majority of the lesions macular, some slightly elevated, of definite, irregularly circular outlines; sizes varying from pinhead to one-cent piece in area; in color a deep bluish-red, not
PHILLIPS WA. REPORT OF A CASE OF GONORRHŒA WITH PURPURA RHEUMATICA. JAMA. 1889;XII(18):620–621. doi:10.1001/jama.1889.02400950009001d
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