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Secondary Syphilis. Presented by Dr. Garfield.
A colored woman, aged 35, gave no history of a primary lesion, but showed a generalized eruption, papulosquamous in type, with many rather large nodules and considerable pigmentation. She also showed mucous lesions and a general glandular enlargement.
Dr. Towle: We do not see this type of rash in the colored race in this city so often, but New York physicians often mention it. There seems to be almost an absence of color in the lesions; they are just a deeper black.Dr. Smith: It was an interesting eruption, with varying sizes of nodulesand general distribution. With this type of papular eruption the rash frequently extends into the palms. This left off at the wrists, and the palms were perfectly clear.
Lupus Erythematosus. Presented by Dr. Bangs.
A man, aged 41, born in England, showed extensive lesions on the face of eight years' duration. There were extensive, typical, sharply defined, erythematous and atrophie areas with considerable scarring where carbon dioxide snow had evidently been applied. He had had only home treatment during the past two years. This patient was shown as an illustrations of the extent to which the disease may progress if it is left untreated.