For the third year in succession a small epidemic of ulcerative diphtheria of the skin simultaneously with desert sore was observed among the civilian population in Haifa with the beginning of the hot, damp season.
This year an epidemic of tropical ulcer brought a new variant to the already seasonal bacterial ulcerations of the skin. During September 1944 I observed in the Hadassah Polyclinic 15 cases of ulcerative diphtheria, 35 cases of desert sore and 17 cases of elevated tropical ulcer. In the same month dozens of tropical ulcers were observed in other medical stations in Haifa. There is nothing exceptional in the sporadic or even in the epidemic occurrence of tropical ulcers in Palestine, but an epidemic with diphtheritic ulcers and desert sore has, to my knowledge, not been observed previously.
Two forms of diphtheritic ulcers could be differentiated in their very beginning,
GILL S. ULCERATIVE DIPHTHERIA OF THE SKIN, DESERT SORE AND TROPICAL ULCERREPORT OF AN EPIDEMIC OBSERVED IN HAIFA, PALESTINE. Arch Derm Syphilol. 1945;51(4):243–244. doi:10.1001/archderm.1945.01510220017004