Dr. JAMES GALLOWAY showed the case of a young lady presenting an
eruption on the left arm of unusual character. The lesion in some
respects resembled those of granulomatous origin, but no definite
diagnosis was given. This case will be subsequently noted in full.
* * * * *
Dr. T. J. P. HARTIGAN (introduced) showed a case of _atrophy of the
nails_, a description of which will be found on page 147.
* * * * *
Dr. GRAHAM LITTLE showed: (1) A case of a _corymbose syphilide_ in a man
aged 44 years, with a history suggestive of a double infection with
syphilis. The patient had been in the Army and had contracted syphilis
in India, twelve years ago. He then had a chancre on the top of the
glans penis, the scar of which was still visible. He was taken into the
Military Hospital and treated for exactly ninety-seven days, his
treatment ceasing entirely after this period. He had no secondary
eruption and no further symptoms. Eight years later he had another
chancre, also on the glans penis, but near the frænum. This was,
according to his description, a deep ulcer, which was seven weeks in
healing. He had no bubo following and no secondary eruption. Ten weeks
ago he began to have the present eruption, which was the only general
rash he had ever had. With the exception of the treatment during the
actual presence of the two chancres, he had had no specific treatment
whatever.
The eruption as seen on exhibition consisted of numerous groups of
fairly large papules arranged in a somewhat herpetiform manner, with
here and there a central larger papule surrounded by smaller ones, in
the manner described as corymbose, but for the most part the groups were
composed of papules equal in size; these groups were scattered over the
back especially, the chest, the arms, the thighs, and the face, with
individual large papules here and there upon the arms and legs. The
mucous membranes were not affected.
The history seemed to point to a double infection, the interval between
the two chancres being eight years.
Public-domain text, read in full here on John Shaqi.
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