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January 1929


Arch Derm Syphilol. 1929;19(1):161-165. doi:10.1001/archderm.1929.02380190164017

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Secondary Syphilis—Late Recurrent Type. Presented by Dr. Schwartz and Dr. Busman.  L. F., a man, aged 47, single, an American, presented a generalized, superficial, erosive condition covering the nasopharynx and the soft palate. The entire area was covered with a white desquamating pellicle which bled easily when disturbed. The trunk, upper arms and legs were covered with a faint but distinctly evident roseola. The infiltrated macules varied in size from that of a split pea to 2 cm. in diameter. There was no evidence whatever of a primary sore of recent date. Dark-field examination of secretion from the lesion of the mucous membrane showed a few typical Spirochaeta pallida. Neither spirochete of Vincent's angina nor fusiform bacilli were present.This patient had had a penile sore in 1917, which was diagnosed as primary syphilis; the lesion disappeared promptly following a single injection of old arsphenamine. He had not had any

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