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Article
April 1930

THE FOUR CITIES DERMATOLOGICAL SOCIETY (CINCINNATI, CLEVELAND, DETROIT AND PITTSBURGH DERMATOLOGICAL SOCIETIES)

Arch Derm Syphilol. 1930;21(4):697-707. doi:10.1001/archderm.1930.01440100183018

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Abstract

Amebiasis Cutis (Ulcerative)? Presented by Dr. Crawford.  A negress, aged 55, complained of an ulceration about the anus four years before presentation. This gradually enlarged until each buttock was involved in an irregular ulceration 9 by 12 cm. with deep precipitate and serrated edges. The diagnosis at first was thought to be tuberculosis cutis (ulcerated), but Ameba histolytica was found in quantities in the stool, and scrapings of the border of the lesions showed many of the same organisms. The organisms have not been found in the sections. The edges of the ulcer have been excised on four occasions, each time breaking down again. The left side was healed, but the right side presented a large open wound 17 by 14 cm. with granulating edges. Fifteen injections of neoarsphenamine and forty of emetine were of no benefit.

DISCUSSION  Dr. Eller: This case fits in clinically, but not entirely, with the

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