A Case for Diagnosis. Presented by Dr. George D. Reeves.
L. O., a woman, aged 24, presented an eruption on the palms and soles which had started about two weeks before examination, as small blisters on the soles. The lesions were small erythematous papules, hard and shotty to touch. Among these were a few deep-seated vesicles, which, when opened, exuded a clear fluid. The older lesions were hard, darkly pigmented macules. The remainder of the body was free from any dermatitis. The patient gave no history of primary lesion. The Wassermann reaction of the blood was 4 plus.
Dr. Grindon: This case is an example of what the French call, syphilide cornee. They are syphilitic papules with a distinct border of infiltration and a scaling center.Dr. Conrad: I agree with Dr. Grindon that the case is one of syphilis. I suggest that an examination be made to discover