It is now well recognized that granuloma inguinale is not limited to the tropics. Fox,1 in reporting a number of cases in the middle part of the temperate zone, has called attention to the wide distribution of this disease. The present case is reported because of some unusual features.
REPORT OF CASE
M. S., an unmarried Negress aged 25, who was born and had lived all her life in Missouri, was first admitted to the Kansas City General Hospital on June 19, 1935. Her condition had started two years before as "bumps" around the vaginal opening, which gradually spread as running sores.Although she stated that she had not had syphilis and serologic tests gave no evidence of the disease, she was given injections of neoarsphenamine and a bismuth preparation for several months. These had no effect on the ulceration.There were no apparent abnormalities aside from the pudendal
HALL TB. GRANULOMA INGUINALE: REPORT OF A CASE OF INVOLVEMENT OF THE UPPER LIP AND DEPIGMENTATION AND EDEMA OF THE VULVA. Arch Derm Syphilol. 1938;38(2):245–248. doi:10.1001/archderm.1938.01480140085011
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