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A Case for Diagnosis. Presented by Dr. Cole and Dr. Driver.
R. S., a negro, aged 22, had two small penile lesions about five weeks before presentation, which had healed spontaneously in about two weeks. Soon after the onset, the inguinal lymph nodes had begun to enlarge, and this enlargement had steadily increased up to the time of presentation. The patient had several attacks of gonorrhea, and a penile lesion in 1926. The Wassermann reaction was strongly positive. The formol-gel test was strongly positive. A biopsy specimen had been taken from the right groin. Smears from the inguinal tumors showed a few organisms suggestive of Donovan bodies.
Dr. Miskjian: I believe that this is a case of lymphogranulomatosis inguinale.Dr. Cole: I agree with the diagnosis. If this condition is lymphogranulomatosis inguinale, it is the earliest case I have ever seen.Dr. Rauschkolb: It may be possible that the
Parkhurst HJ, LaRocco CG. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1929;19(6):1024–1027. doi:10.1001/archderm.1929.02380240159020
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