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To the Editor.—
In the Archives of Dermatology for July 1970 (102:78-83) was an original contribution entitled "Manifestations of Late Congenital Syphilis," by Nicholas Fiumara and Simmons Lessell of Boston.In the 12-year period, 1958 to 1969, there was a 202% increase in reported cases of primary and secondary syphilis in the United States, and, as a consequence, congenital syphilis in children under 1 year of age rose by 117% during the ten years from 1960 to 1969. In the same decade congenital syphilis in children under 10 years of age rose by 168%. At the Boston City Hospital Skin Clinic 271 patients with late congenital syphilis were examined from January 1967 through June 1969....Fiumara, we think, is the chief venereal disease officer of the Great Commonwealth of Massachusetts. During the past decade he has been a prolific writer on syphilis, stressing in the main the rising incidence