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Ecthymoid Pustular Syphilid. Presented by Dr. Howard Fox.
E. D., a woman aged 31, is presented from the dermatologic wards of the Bellevue Hospital.The eruption first appeared about five weeks ago. It is generalized, sparse, roughly symmetrical and most profuse on the trunk, but there are scattered lesions on the face and extremities. These vary from 1 to 6 cm. in diameter and consist of a central crust the size of a large coin and an areola which is erythematosquamous, is the color of lean ham and shows no evidence of scratching. There is also a fading macular eruption. The Wassermann reaction was strongly positive.
Dr. Isadore Rosen: I saw this patient two or three weeks ago, before any treatment was instituted. At that time the eruption was much more profuse and active. She received at our clinic two intramuscular injections of a bismuth preparation, which resulted
Hopkins JG, Bloom D. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1937;36(1):177–205. doi:https://doi.org/10.1001/archderm.1937.01480010181026
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