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Secondary Syphilis (Psoriasiform Type). Presented by Dr. Thomas N. Graham.
A 43-year-old white woman was first seen at the Knickerbocker Hospital Skin Clinic on March 22, 1955, at which time she presented an eruption of five weeks' duration, involving the face, hands, and forearms. The patient stated that the eruption followed a "cold sore" on her upper lip which had appeared about one week previous to the eruption.
Examination showed crusted, erythmatous, scaly lesions which varied in diameter from 0.3 to 3.0 cm.
Laboratory studies revealed the following: Mazzini—2+; VDRL—3+; Kolmer—4+; urinalysis—neg.
Penicillin therapy was deferred until the results of the laboratory examination were complete, however, the patient was given three injections of bismuth subsalicylate. Ammoniated mercury ointment 3% was prescribed because of secondary infection.
DISCUSSION
Dr. Royal M. Montgomery: The palmar and plantar lesions and the redness of the throat are typical of secondary syphilis. The only unusual feature