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Condylomata Acuminata. Presented by Dr. Reuben Friedman.
J. S., a white man aged 25, states that in April 1937 two "sores" developed on his penis. At the Los Angeles City Clinic examination of a smear showed no abnormality. A Wassermann test the same day gave "mildly positive" results. The patient received no treatment for ten days, after which another Wassermann test was reported as strongly positive. He then received two injections weekly, one of neoarsphenamine and one of a bismuth preparation, for the next twelve weeks. About one week after the last injection of bismuth (July 2, 1937) the patient noticed the appearance of small wartlike lesions around the anal orifice. These have continued to grow larger and more numerous and have recently become painful and itchy. At the Temple University Hospital on Sept. 1, 1937, the Kolmer, the Wassermann, the Kahn and the Kline test were negative. Since then