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November 1941


Arch Derm Syphilol. 1941;44(5):942-963. doi:10.1001/archderm.1941.01500050172026

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A Case for Diagnosis (Ulcer of the Penis. Tuberculosis?). Presented by Dr. Clark W. Finnerud.  G. J. L., aged 42, was first seen on Jan. 20, 1941 because of a finger nail—sized indurated ulcer of the right side of the base of the penis of one week's duration. He thought it had begun as a pimple. There had been various exposures to infection through sexual intercourse. The lesion was without subjective symptoms.After the first visit the lesion gradually increased in size, in spite of all treatment, until it had about the diameter of a silver quarter in the course of the following month, at the same time becoming considerably deeper. In the week before this presentation it has been healing steadily. At no time has there been any appreciable regional lymphadenopathy.The patient had syphilis fifteen years ago, for which he received thorough treatment for several years. Since that

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