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Tertiary Syphiloderm. Presented by Dr. George C. Andrews.
Z. H., a colored woman, aged 34, had been presented in March, 1932, showing large, reddish, infiltrated plaques on the forehead, back of the neck, chest, back, arms and legs. When presented the second time the lesions were markedly improved. The patient had been given three injections of neoarsphenamine; after the last injection there was a reaction. The medication was changed to silver arsphenamine, and the patient received two injections. She received twelve injections of mercury. It was later learned that she had received antisyphilitic treatment five years previous to presentation. A daughter, aged 20, presented congenital syphilis (interstitial keratitis). The patient had a 4 plus Wassermann reaction of the spinal fluid and blood, and the reactions to old tuberculin and acid-fast inoculations were negative.
Dr. Sigmund Pollitzer: A positive Wassermann reaction is fairly common in leprosy, but this
Spiegel L, Eller JJ. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1933;27(1):138–147. doi:10.1001/archderm.1933.01450040141014
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