The case reported has a double interest, because it illustrates how perfectly an initial sclerosis may be mimicked by a factitial or benign inflammatory lesion, and how critical one may justly be of accounts of reinfections, superinfections and cures based on the excision of the chancre when the diagnosis of the lesion has been made on clinical criteria alone, without a complete confirmation by dark-field and serologic examination.
REPORT OF A CASE
The case of C. P. (Case 295316) was diagnosed as tabes dorsalis, following an examination at the clinic in November, 1919. The spiral fluid Wassermann reaction was positive, the Nonne reaction was positive, and the lymphocytes numbered 140. The patient received six intravenous injections of arsphenamin, twenty intramuscular injections of mercury succinimid and interim treatment of forty mercurial inunctions. The patient, although repeatedly questioned, could give no history of a primary lesion, his first intimation that he
STOKES JH. A SPURIOUS CHANCRE. Arch Derm Syphilol. 1921;3(3):295–296. doi:10.1001/archderm.1921.02350150074011
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