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Article
January 1934

CLEVELAND DERMATOLOGICAL SOCIETY

Arch Derm Syphilol. 1934;29(1):136-139. doi:10.1001/archderm.1934.01460070139017

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Abstract

Tuberculous Ulcer of the Tongue (Syphilis). Presented by Dr. H. F. De Wolf.  A. H., a white man, aged 61, was admitted to the service of Dr. Cole and Dr. Driver at City Hospital on May 19, 1933, complaining of an ulcer on the tip of the tongue and a persistent cough for the past three months. He had been a patient in the hospital in September, 1928, at which time he had received treatment for seronegative primary syphilis, and had received a total of 4.2 Gm. of arsphenamine and twelve inunctions of mercury. No subsequent antisyphilitic treatment had been received. On examination there was situated at the tip of the tongue a punched-out, shallow ulcer about 1 cm. in diameter, with anemic granulation on the surface. The area apparently was irritated by the sharp edges of the lower, central incisors. There was considerable inflammatory areola surrounding the ulcer, but

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