The following report describes a rather infrequent cutaneous complication in a patient suffering from congenital syphilis. Cutaneous diphtheria is a rare but not entirely uncommon manifestation, and congenital syphilis is found only too frequently in every hospital and clinic, but their occurrence in the same patient is unusual. In a search of the literature I was unable to find the description of a similar case. It is known that both Spirochaeta pallida and the Klebs-Löffler bacillus have a special affinity for the nasal passages, and it is interesting to note what happens when these two destructive forces invade the same nose.
REPORT OF CASE
In January 1933, a girl, aged 11 years, came to the York Hospital Dispensary with an obvious chief complaint. Her nose was swollen and reddened, and a marked, odoriferous, mucopurulent discharge was present. Surrounding the alae for about 1 inch (2.5 cm.) was a crusted,
COHEN MH. CUTANEOUS DIPHTHERIA IN CONGENITAL SYPHILIS: REPORT OF A CASE. Arch Derm Syphilol. 1934;30(2):207–210. doi:https://doi.org/10.1001/archderm.1934.01460140033005
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