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Chancre Redux. Presented by Dr. Herbert A. Luscombe and (by invitation) Dr. Leopoldo F. Montez.
A Negro man aged 41, presented an oval, erythematous, eroded, indurated lesion involving the border of the prepuce, and several slightly eroded papules in the scrotum. The inguinal lymph nodes were slightly painful and apparently not enlarged.
The patient had gonorrhea in 1940. In June, 1943, he was seen at the Pennsylvania Hospital with a papular syphiloderm of the palms and a reactive serologic test for syphilis. He was treated on June 2, June 9, and June 16, 1943, with Mapharsen and bismuth. Three months ago he developed a penile lesion, followed one month later by several small lesions in the scrotum. When he came to the Skin Clinic at the Pennsylvania Hospital the lesions were eroded and indurated, especially the one on the prepuce, which showed a surface covered with serum and blood. There