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Granulomatous Type of Bromoderma. Presented by Dr. William O. Roop, Atlantic City, N. J.
R. K., a widow aged 55, about two months ago began taking a patent medicine for her "nerves"; soon after pustules developed on the face. The eruption grew steadily worse under the continuance of the medication. She then consulted a physician, who suspected syphilis and requested that a test of the blood be made. When I first saw the patient she presented several small discrete papulopustular lesions on the lower eyelids, and on her forehead and face close to the eyes there were a few granulomatous button-like lesions the size of a 25 cent piece, surfaces of which were somewhat crusted and studded with pustules. The Wassermann and the Kahn reaction of the blood were negative. The urinalysis showed bromine and a trace of albumin. The blood pressure was 110 systolic and 60 diastolic.
Garner VC, Smith HJ. PHILADELPHIA DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;35(2):345–351. doi:10.1001/archderm.1937.01470200145024
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