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Late Syphilis of the Skin and Mucous Membrane (Vulva and Perineal Region). Presented by Dr. Harry Bailey, Hartford, Conn.
This Negress, aged 32, states that two years ago she noted a lesion beginning as a small ulcer on the vulva; gradually it increased in size to cover the whole length of the vulva, the mons veneris and the region around the clitoris on the left; on the right side it extends toward the thigh with a slight involvement of the right side of the vulva. The lesion has also spread to the perineal region and along the vaginal epithelium.The patient has had six miscarriages. There are no living children. Her husband is living and well.There is depigmentation around the left part of the vulva and the mons veneris and perineal region. The left labia show a punched-out ulcer the size of a quarter and similar ulcers, varying in
Blaisdell JH, Jacoby R. NEW ENGLAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1935;31(4):564–576. doi:10.1001/archderm.1935.01460220122013
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