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Article
May 1941

SOLITARY GUMMATOUS SPOROTRICHOSIS OF TWO YEARS' DURATION: REPORT OF A CASE

Author Affiliations

WHEELING, W. VA.

From the Department of Dermatology and Syphilology of the Louisville City Hospital.

Arch Derm Syphilol. 1941;43(5):805-808. doi:10.1001/archderm.1941.01490230045004
Abstract

Solitary sporotrichotic lesions constitute a rare clinical entity. The first case of this type was reported in 1933, in which the condition was a "chancre" of five months' duration.1 A survey of the previous reports, derived from the Quarterly Cumulative Index Medicus, marks this as the second example of a single lesion and the first of a solitary lesion of a gummatous character to be cited.

Secondary lesions usually appear soon after primary inoculation sites are established, and the latter is usually considered by both the patient and the examiner to be an inconsequential infection. For these reasons single sporotrichotic nodules are not recognized.

A review of the literature discloses no advance in the means of diagnosis and treatment of sporotrichosis since the comprehensive discussion by de Beurmann2 in 1912, except for the detection of spores in the stained primary smear.3 Many clinical varieties of the disease

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