Secondary Syphilis. Presented by CDR J. H. Jenkins, MC, USN, and Lt. W. M. Narva, MC, USN (by invitation).
A 34-year-old Negro had noted onset of pruritic brown colored papules on his face and forearms in September, 1960. While under observation, several infiltrated scaly plaques appeared on his scalp, trunk, and thighs. There was marked cervical, axillary epitrochlear and inguinal adenopathy. The oral mucous membranes and anal region were clear. There was no palmar or plantar involvement. He gave a past history of gonorrhea in 1948 and 1951. He denies any recent urethral discharge, penile lesion, or cutaneous eruption.Serological tests for syphilis were as follows: TPI Test on Dec. 13 and Dec. 19, 1960, were reactive. Cerebral spinal fluid examination was normal. Darkfield examination from papular skin lesions and lymph nodes were negative.
Two specimens were reported as plasmacytosis.Biopsies of skin, lymph nodes, and liver were
Joseph HL, Epstein JE, Bennett JH. SAN FRANCISCO DERMATOLOGICAL SOCIETY. Arch Dermatol. 1961;84(4):695–697. doi:10.1001/archderm.1961.01580160159042
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