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June 1931


Arch Derm Syphilol. 1931;23(6):1195-1197. doi:10.1001/archderm.1931.03880240176019

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A Case for Diagnosis (Granuloma Inguinale?). Presented by Dr. L. W. Shaffer.  F. S., a Negro, aged 47, a laborer, who said that he had not had venereal disease, had first noticed painful swelling and slight induration beneath the prepuce, with a slight discharge, in February, 1930. In June, the symptoms were more marked; a dorsal slit had been made, and a diagnosis of tuberculosis cutis was suggested. The infiltration had persisted, and at the time of presentation there was central ulceration on the glans. There was no inguinal lymphadenitis. The Wassermann reaction was weakly positive, and the histologic picture was more indicative of syphilis than of tuberculosis. The condition had failed to improve under moderately intensive antisyphilitic therapy, together with rest in bed, elevation and moist dressings of potassium permanganate. The Kromayer lamp was then employed, and antimony and potassium tartrate was administered intravenously, which was followed by 60

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