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Syphilid (Ulcerative). Presented by Dr. C. F. Lehmann and Dr. J. L. Pipkin, San Antonio, Texas.
F. C., a Mexican, aged 29, states that he had a primary lesion in the neighborhood of the frenum seven years ago, which was present for six weeks. He received two injections of neoarsphenamine and oral medication with iodide, and the lesion healed in three weeks.Two years later a dime-sized ulcer appeared at the site of the primary lesion, with two deep ulcers on the dorsal surface of the shaft near the base, the scars of which remained. Shortly after the appearance of these lesions a palm-sized, purplish, indurated area, which later ulcerated, appeared on the medial aspect of the right thigh in the lower third. At that time the Wassermann reaction was 4 plus. He received eight injections of neoarsphenamine, eleven of mercury and six of a bismuth preparation during a period