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Article
April 1943

CLEVELAND DERMATOLOGICAL SOCIETY

Arch Derm Syphilol. 1943;47(4):593-600. doi:10.1001/archderm.1943.01500220131015

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Abstract

Annular Papular Syphiloderm. Presented by Dr. E. B. Heisel and Max E. Krause.  M. D., a white woman aged 47, of Polish extraction, presented from the department of dermatology and syphilology, Cleveland City Hospital, complains of hoarseness and an asymptomatic eruption of five months' duration. At the onset the lesions were like "measles," gradually becoming larger and extending to the present distribution.There is a fairly generalized erythematosquamous eruption involving the face, neck, trunk and upper extremities, while the palms, distal portion of the lower extremities and mucous membranes are spared. The lesions are pink to dull red and consist of small papules, nodules and annular lesions with raised scaly borders and depressed pigmented centers. Some annular lesions have coalesced to form areas with serpiginous borders. The vocal cords are smooth and white and move normally. The epiglottis is normal. Other physical observations are irrelevant.The hemogram, urine and spinal

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