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April 1920

Society Transactions

Arch Derm Syphilol. 1920;1(4):456-485. doi:10.1001/archderm.1920.02350040093012

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MANHATTAN DERMATOLOGICAL SOCIETY  Regular Meeting, Dec. 9, 1919Paul E. Bechet, M.D., Chairman

GUMMA OF THE TONGUE. Presented by Dr. M. B. Parounagian.  Mrs. A. M., aged 42, had a lesion situated on the tip of the tongue, on the dorsal aspect, that was about the size of a silver dime, with an irregular border. It was not indurated, and had been present for about three months. She had been presented at the Academy, Section on Dermatology and Syphilis, with the above diagnosis, and most of the members disagreed with the diagnosis—some believing it to be tuberculosis, some epithelioma, etc. Two days after the presentation she was given neo-arsphenamin at the Bellevue Hospital Clinic, and the subsequent improvement was so marked—at least 50 per cent.—that it was deemed desirable to present her again. Her Wassermann reaction was + + + +.

DISCUSSION  Dr. L. B. Mount said that the clinical picture was more like that of tuberculosis—the jagged undermined edges and the brilliant-hued base spoke clinically for