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Gummas of the Leg with Syphilis of the Bones. Presented by Dr. Nathan Pensky.
A. B., a man aged 39 years, born in Puerto Rico, complained of an ulcer of the right leg of six years' duration. He had never received treatment for syphilis.
Examination shows multiple punched-out ulcers on the right leg with atrophic scars and areas of hyperpigmentation. The area involved extends from the middle of the leg to the ankle and to both the inner and the outer aspect of the leg. Examination of the eyes shows that the left pupil is larger than the right, but both react to light and in accommodation. This inequality is due to a pupillary membrane and not to syphilis of the central nervous system. The right eye also shows an old healed choroiditis. Neurologic examination fails to show evidence of syphilis of the central nervous system. There was a healed
Estrin MM, Silvers SH. BROOKLYN DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1943;48(2):242–244. doi:10.1001/archderm.1943.01510020101018
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