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June 1926


Arch Derm Syphilol. 1926;13(6):831-840. doi:10.1001/archderm.1926.02370180096013

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Tertiary Syphilis of the Tongue. Presented by Dr. Howes.  The patient said that he had had a chancre in 1882, but had received no treatment at that time. In 1913, he had had a generalized rash, probably a secondary papular syphilid, and a four plus Wassermann reaction. He had received a great deal of mercury then and ever since; his tongue had been enlarged and had felt sore. He had had no other skin or cerebral lesions. At the present time, he is sugar-free but is adhering to an antidiabetic diet.

DISCUSSION  Dr. Chargin: I believe that we are not dealing with gumma or carcinoma, but that the process on the tongue is the end stage of syphilitic glossitis, very prone to carcinoma of course. I think that the patient should receive moderate doses of arsphenamine and mercury or bismuth, not so much with the idea of influencing the process

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