Granuloma Inguinale; Late Latent Syphilis. Presented by Dr. E. B. Heisel and Dr. Max E. Krause.
C. B., a Negro aged 29 years, presented from the department of dermatology and syphilology, Cleveland City Hospital, complains of a "sore" between the buttocks of two months' duration. The lesion began as a small "boil" and has grown rapidly to its present size. The lesion is relatively nontender and nonpainful. The patient says he has not engaged in any abnormal sexual practices.
On the medial aspect of the right buttock involving the margin of and adjacent to the anus there is a sharply limited oval beefy red ulceration 6 by 8 cm. The edge of the lesion is nodular and raised 0.5 cm. above the surface of the normal skin. There is no erythema around the lesion. Extending toward the scrotum from the anal region, there are several isolated small nodules. The rectum
Netherton EW, Rauschkolb JE, Driver JR. CLEVELAND DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1943;48(1):112–129. doi:10.1001/archderm.1943.01510010116023
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