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February 17, 1912


Author Affiliations


JAMA. 1912;LVIII(7):478. doi:10.1001/jama.1912.04260020162016

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Patient.  —The patient, J. D., a man aged 23, single, bank clerk, with negative family history, had always enjoyed good health until in April, 1911, in Winnipeg, he developed a hard chancre, three weeks after exposure. He was given an injection of salvarsan, resulting in the disappearance of the sore in a couple of weeks. This was followed by about one month's course of mercury. No Wassermann test was done. J could only get the history from the patient himself.

Clinical History.  —About the middle of August, he began to notice some weakness of the right lower extremity, with sonic pain. He was treated for "rheumatism." As he was gradually getting worse, he came home about September 10, at this time walking with the aid of a cane. He was there seen by my father, who, as syphilis is practically unknown in that part of the country (Ottawa valley), and

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