Abstract

A married woman, aged 35, came to my clinic at the Manchester Skin Hospital in August, 1929, during my absence, and was seen by an assistant, who naturally made a diagnosis of secondary syphilis. The Wassermann reaction was negative, and the rash increased in intensity and area in spite of vigorous antisyphilitic treatment. When I saw the patient on my return, I found that she presented on the trunk and flexor aspects of the arms a maculopapular eruption that simulated in a marked degree a maculopapular syphilid. Her general appearance, however, was that of a perfectly healthy person. There was no general adenitis, headache Eruption on the trunk and arms. or other symptom suggestive of venereal infection. The patient said that she had had a sore throat shortly before the eruption appeared, and in the left cervical region some enlarged lymphatic glands could be appreciated. The fauces showed slight congestion.

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