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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.
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
Throne B. BROOKLYN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1926;13(6):831–840. doi:10.1001/archderm.1926.02370180096013
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