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Toxic Dermatitis. Presented by Dr. Bernard Appel.
L. McL., a Canadian woman, aged 25, a stenographer, from the skin department of the Boston City Hospital, had had secondary syphilis six years previous to presentation. She received about thirty injections of arsphenamine and thirty of bismuth; after this treatment, tests of the blood and spinal fluid for syphilis were negative. She received the last treatment about two years ago. The patient is pregnant from seven and one-half to eight months. Four months ago an eruption developed which was generally distributed, fairly symmetrical and discrete, with slightly raised maculopapules from 5 to 15 mm. in diameter, brown pigmentation and occasional scaliness, which was not silvery. The new lesions are slightly pinker than the old ones. The old lesions are dryer but not scarred. An occasional excoriation is seen.
The Kahn test was negative twice; the Wassermann reaction and the Hinton
Boardman WP, Greenwood AM. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1933;27(6):1022–1027. doi:10.1001/archderm.1933.01450041032022
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