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December 1936


Author Affiliations

Reporter Feb. 27, 1936; Presiding

Arch Derm Syphilol. 1936;34(6):1082-1086. doi:10.1001/archderm.1936.01470180149019

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Syphilitic Amyotrophy. Presented by Dr. G. W. Binkley.

Case 1.—W. E., a Negro aged 34, from the service of Dr. Cole and Dr. Driver at the City Hospital, for the past three years has noticed weakness in walking and standing, especially when his eyes are closed. The primary syphilitic infection occurred in 1917, and since that time the patient has received several courses of treatment. When he was first examined, about one year ago, the following observations were recorded: generalized fibrillary twitchings, absence of ankle jerks, sluggishness of knee kicks, absence of vibratory sensation in the legs, impairment of sense of position, extreme ataxia with a positive Romberg sign and muscular weakness of the lower extremities. There was no sensory impairment. The Wassermann reaction of the blood was 4 plus; examination of the spinal fluid gave negative results. The diagnosis at that time was questionable tabes dorsalis, with possible

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