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Congenital Syphilis (Gummas). Presented by Dr. H. E. Michelson, Minneapolis.
Miss L. R., a white woman aged 19, first noticed two years ago areas of bluish discoloration on the left leg. Some of this discoloration disappeared spontaneously. These areas were somewhat painful and were more noticeable after the patient went swimming in cold water. Two weeks before admission to the University Hospitals, some of these bluish areas ulcerated. New ulcers formed at intervals before she was admitted to the hospital, on Oct. 3, 1941. She has been treated with hot packs and flaxseed poultices. She received some salve from her local doctor.On the lateral and the posterior surfaces of the left leg are numerous punchedout ulcers with undermined borders. The base consists of pus-covered granulation tissue. The lesions are painful. There is no lymphadenopathy. On the left thigh is a depressed hard scar representing a healed ulcer.Since her