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November 1938


Arch Derm Syphilol. 1938;38(5):804-816. doi:10.1001/archderm.1938.01480170128016

A Case for Diagnosis (Granulomatous Inflammation of the Palate).1  J. B., a Negro aged 28, states that he has not had syphilis but has had several gonorrheal infections within the last four years. He was admitted to the hospital in September 1937 for a painless bubo in the left inguinal region of ten days' duration (last exposure one month before). The Frei test gave a positive result. A diagnosis of lymphogranuloma venereum was made, and the condition subsided under roentgen treatment. At the time of admission no lesions of the oral mucous membranes were noted, except moderately hypertrophied tonsils. The patient returned on Dec. 20, 1937, complaining of a sore mouth. He had noticed lesions for two months but only recently had been troubled by slight tenderness.Physical examination shows him to be well developed and fairly well nourished. The hard palate presents a granulomatous, easily bleeding surface, with

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