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A Case for Diagnosis (Chronic Balanoposthitis?). Presented by Dr. George M. Stroud III.
R. M., a Negro aged 48, presented from the department of dermatology and syphilology, the University Hospitals, came to the outpatient department on Oct. 19, 1940 complaining of a urethral discharge. In the urologic department a diagnosis of chronic gonococcic urethritis was made, but the patient was sent to the dermatologic department because of a penile lesion of ten months' duration. His former hospital record showed that a diagnosis of latent syphilis had been made in 1921. The Wassermann reaction of the blood was positive at that time. He received ten inunctions of mercury and six injections of neoarsphenamine, following which he voluntarily stopped treatment. His present urethral discharge began about a year and a half ago. Ten months ago hard whitish lesions developed on his penis, and these lesions have become progressively larger.There are indurated