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February 6, 1932


JAMA. 1932;98(6):499. doi:10.1001/jama.1932.02730320059028

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To the Editor:  —In the article "Stricture of the Rectum: Some Unusual Causes" by Vernon C. David and C. A. Lauer (The Journal, January 2, p. 1), the authors refer to chronic granulomas of the rectum, usually called syphilis of the rectum, appearing most frequently in women and, more especially, in Negro women. These granulomas cause high rectal strictures "with their apex at the level of the levator ani muscles." I should like to quote the end of the interesting paragraph in which reference is made to more than 150 cases of this condition:About 50 per cent of these patients have a positive Wassermann reaction, but in no case have we seen any improvement result from vigorous antisyphilitic treatment.... We have taken material for microscopic study from many such lesions and have found, almost invariably, round cell infiltration without changes in the blood vessels. We have also tried to