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March 1940


Author Affiliations


From the Laboratory of Dermatological Research, University of Pennsylvania.

Arch Derm Syphilol. 1940;41(3):562-567. doi:10.1001/archderm.1940.01490090114015

The purpose of this report is to present a dermatologic rarity. The patient was discovered incidentally during a visit to a syphilis clinic and already has been demonstrated at a meeting of the Philadelphia Dermatological Society.1

REPORT OF A CASE  J. H., a Negress aged 42, married and childless, exhibited a peculiar growth on the proximal phalanx of the fourth digit of the right hand. She had no other cutaneous blemishes or structural deformities.The lesion, signet-ring-like, dorsally and laterally placed, was localized, nodular and slightly lighter than skin colored and measured roughly 1.5 by 1.5 cm. It consisted of fifteen to twenty closely aggregated nodules varying in size from that of a pinhead to about 4 mm. in diameter. The larger ones projected prominently (4 to 5 mm.) and the smaller ones less on the skin. Palpation disclosed additional nodules deeper in the skin and a stony hardness

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