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Syphilitic Glossitis: Late Mucocutaneous Syphilis. Presented by Dr. William R. Hill, Boston.
A white man, aged 85, is presented from the Massachusetts General Hospital with the history of having had a chancre in 1918. This was treated with 4 injections of neosalvarsan.
The tongue is enlarged, with areas of atrophy and hypertrophy, and also of leukoplakia. It is not lobulated but has a thickened feel. The patient is blind in the left eye, and deaf in the left ear. The remainder of the examination is noncontributory.
The quantitative Hinton test was positive in a dilution of 1:4, and doubtful in a dilution of 1:8.
Treatment has consisted of intramuscular injections of procaine penicillin, 600,000 units daily for 10 days.
Dr. Austin W. Cheever, Boston: This is characteristic syphilitic glossitis. I am not sure whether that explains all of it or whether there is some leukoplakia on the
Standish EM, Goodman J. NEW ENGLAND DERMATOLOGICAL SOCIETY. AMA Arch Derm. 1957;75(1):145–148. doi:10.1001/archderm.1957.01550130147025
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