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August 1923

Society Transactions

Arch Derm Syphilol. 1923;8(2):243-317. doi:10.1001/archderm.1923.02360140080008

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ST. LOUIS DERMATOLOGICAL SOCIETY  Regular Meeting, March 14, 1923M. F. Engman, M.D., Presiding

CASE FOR DIAGNOSIS. Presented by Dr. Richard S. Weiss.  A white married woman, aged 28, was first seen on February 24, 1923. She complained of lesions on the palm which began about four years ago and which have progressively grown larger. She presented, on the right palm only, two crescentic groups of infiltrated, squamous, deeply-set papules which have run together to form a more or less crescentic ridge. The Wassermann reaction was negative; there was no history of syphilis.

DISCUSSION  Dr. Engman said that it had been his experience that in superficial cases like the one presented, a negative Wassermann reaction is not infrequently encountered; nevertheless, in his opinion, it was a case of syphilis.Dr. Weiss said that this was his diagnosis also. The patient had improved markedly on mixed treatment during the last two

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