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Lichenoid Papular Syphilid. Presented by Dr. Maurice J. Costello.
B. M., a Negro aged 28, was admitted to Bellevue Hospital on Jan. 10, 1942. He stated that he had been a heroin (diacetylmorphine) addict for the past five years and that he had had a positive Wassermann reaction of the blood in 1928, for which he had received "fifteen injections in the hip and nine in the arm." He has had no antisyphilitic treatment since that time.When the patient was first admitted he had phlebitis of the superficial veins of the upper extremities, which followed the self administration of heroin intravenously with a safety pin and medicine dropper. In addition, he had a generalized pyoderma, consisting of many ecthymatous lesions, on the lower extremities. Several days later the eruption which he now presents began to develop.There is a lichenoid eruption consisting of pinhead-sized to match head—sized shiny, irregular
Tulipan L, Riordan TJ. NEW YORK ACADEMY OF MEDICINE, SECTION OF DERMATOLOGY AND SYPHILIS. Arch Derm Syphilol. 1942;46(2):304–307. doi:10.1001/archderm.1942.01500140120022
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