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April 1960


AMA Arch Derm. 1960;81(4):636-641. doi:10.1001/archderm.1960.03730040140032

Secondary Syphilis. Presented by Dr. Donald M. Pillsbury and (by invitation) Dr. Philip Repetto and Dr. Henry C. Maguire.  The patient was a 31-year-old Negro woman who complained of an eruption on scattered areas of her body.

History.—  About six weeks previously she noted an annular papular eruption on her face and neck which was accompanied by some pruritus. Shortly thereafter she noted an eruption on her palms and soles. She had never been treated for syphilis previously. She has had rickets in infancy.

Examination.—  About the face and neck are circinate and annular lesions with elevated borders and hyperpigmented centers. The palms and soles show a diffuse scaling with punched-out hyperkeratotic, scaly, depressed lesions. There are many ulcerative plaques on the vulvae.

Laboratory Findings.—  VDRL 1:32 Dil. Darkfield examination on vulvar lesions positive for Treponema pallidum.

Treatment.—  As the patient was seen the afternoon of the meeting, she was

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