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June 1942


Arch Derm Syphilol. 1942;45(6):1179-1190. doi:10.1001/archderm.1942.01500120147022

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Ulcus Vulvae Acutum. Presented by Dr. George C. Andrews.  R. M., a woman aged 21, a bookkeeper, presents recurrent ulcers of the vulva. The lesions which the patient had about one year ago were much larger and more numerous. At that time the ulcers had been present for eight months and had not been affected by various methods of treatment. At different times there have been small superficial ulcers on the lips and buccal mucosa which resembled aphthous ulcers. The oral lesions healed spontaneously but recurred.The present ulcers appeared about two weeks ago. The lesion on the right labium majus is about 1 inch (2.5 cm.) in diameter and is a rounded, punched-out ulcer with rather smooth walls. The base is a granulomatous, firm mass covered with a greenish seropurulent exudate. There is some inflammatory reaction about the ulcers. They have been rather painful. There is a similar but

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