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Article
October 1930

KERATODERMA BLENNORRHAGICUM: REPORT OF TWO CASES, GONOCOCCUS IN THE LOCAL LESIONS IN ONE CASE

Author Affiliations

CLEVELAND

From the Department of Dermatology and Syphilology of Cleveland City Hospital and of the School of Medicine, Western Reserve University.

Arch Derm Syphilol. 1930;22(4):627-636. doi:10.1001/archderm.1930.01440160025005
Abstract

Vidal,1 in 1893, was the first to describe a case of keratoderma blennorrhagicum. Since then, sixty-eight additional cases have been reported. These were reviewed to date by Keim2 in 1924, together with a case that he observed. Since 1924, thirteen additional cases have been reported by Smith,3 Willmott,4 Olivet,5 Beatty,6 Sholtz,7 Hansteen,8 Rostenberg and Silver,9 Millis10 and Berman.11

This dermatologic condition is an interesting one, because it is such a definite clinical entity; it is rare, and yet it accompanies one of the commonest infectious diseases. It is confined almost exclusively to the male sex.

DIAGNOSIS AND SYMPTOMATOLOGY  The diagnosis can be made clinically. Three things are essential: (1) a gonorrheal infection along the genital tract, (2) a gonorrheal arthritis and (3) a keratotic eruption.The eruption may be generalized, or it may be confined to the feet, or

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