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May 1929


Arch Derm Syphilol. 1929;19(5):836-838. doi:10.1001/archderm.1929.02380230126014

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Keratodermia Blennorrhagica. Presented by Dr. Cole and Dr. Driver.  L. C., a white man, aged 28, a laborer, had gonorrhea in 1923, and an acute flare-up in October, 1928, with epididymitis, prostatitis and arthritis of the left wrist and left ankle. No skin lesions were found at the time of his admission to the hospital in October, but one week later moist macules appeared on the scrotum and small, dry papules on the penis; large macules, resembling mucous patches, were then found on the hard and soft palate. Results of dark-field examinations and Wassermann tests had been repeatedly negative. The number of lesions had steadily increased up to the time of presentation, involving various parts of the body and assuming a rupioid character. An urethral smear showed Gonococci. A biopsy examination of one rupioid lesion was made. Vigorous antisyphilitic treatment, as a therapeutic test, had no apparent effect on the

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