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December 1934


Author Affiliations


Arch Derm Syphilol. 1934;30(6):837-840. doi:10.1001/archderm.1934.01460180079012

No mention is made in the American literature of trophic ulcers developing after an attack of and presumably as a result of central or peripheral nerve changes in epidemic encephalitis. Because of this and the difficulty encountered by several physicians in its diagnosis and treatment, the following report is made.

REPORT OF A CASE  W. M. H., a well developed, well nourished white man, aged 40, was referred to the department of dermatology and syphilology of the Graduate School of Medicine of the University of Pennsylvania on Nov. 8, 1933, with the request that he be given antisyphilitic therapy for an intractable ulcer which involved the cheek, nose and upper lip and which had destroyed the right wing of the nose. No diagnosis had been made, but it was thought, despite negative blood studies for syphilis, that the patient should receive the benefit of any doubt in the question of