Granuloma inguinale of the mouth and genitalia

542

QUARTERLY

and I believe that he has been applying previous leukoplakia. “Dr. leukoplakia the tongue cessful.

REVIEW

OF

LITERATURE

some strong

chemical

to his tongue

to remove

the

Francis M. Thurmon, Boston: Around the denuded areas there is definite of the tongue. I think that the prognosis is serious, because once cancer of develops in a patient, with tertiarp syphilis there is no treatment that is sue-

“Dr. Francis P. McCarthy, Boston: I am interested in what Dr. Downing said because it seems unusual to see granulation continue so long without healing, The blood supply is greatly diminished, and that may be a factor. Why anyone should inflict a lesion of this kind on his own tongue is difficult to understand without some compelling The patient told me that it developed motive such as the collection of compensation. overnight. garded loupe.

“Dr. F. Ronche’se, Providence, R. I.: If the changes on this man’s tongue are reas potentially malignant, the entire surface should be removed with the coagulating

Syphilis is in the background “Dr. John G. Downing, Boston: tongue, aggravated by a therapeutic attempt to cure it. ”

of this disease of the T. J. C.

Presented

Granuloma Inguinale of the Mouth and Genitalia. Dermat. & Syph. 60: 1010, 1949.

by A. Benson Cannon.*

Arch.

“E. S., a Puerto Rican woman aged 26 who has been in the United States for six of sores in the years, wa.s admitted to the City Hospital on Jan. 9, 1947, complaining mucous membranes of the mouth, lips and anal-genital region of twelve months’ duration. The patient has been separated from her husband for five years. She has never been pregnant. The past and family histories are essentially noncontributory. “The present disease began with a small ulcer near the anus twelve months ago, which gradually increased in size, spreading around the anus and the crotch to the front and involving the inguinal regions and the vulva with an extensive ulceration which is painful on motion. “Note.-Donovan bodies were subsequently found in the oral lesions and also in the genitocrural ulcer. The patient was given three small blood transfusions of 250 C.C. each The improvement has been spectacular. There and an injection of fuadin every day. was immediate relief from pain, so that the patient eats well, can walk and has gained 20 pounds (9.1 kg.) in weight. On February 24 most of the oral lesions were gone and Of the last 65 patients with granuloma inguinale those in the groin were noticeably better. admitted to hospitals, this is the second to have lesions of the oral cavity. ” A Case for Diagnosis (Lichen Planus and/or Presented Oriental Sore of Forearm). Syph. 60: 848, 1949.

Lupus Erythematosus by

Maurice

of Lips and Tongue.

J. Costello.*

Arch.

Dermat.

&

was born in the United States and was “G. R ., presented from Bellevue Hospital, taken to Greece when he was 14 years old, where he remained until about four months ago. He was a guerilla fighter during the past two years in Greece. He does not smoke. “About 15 months ago an erythematous patch appeared on the patient’s right forearm, persisting until about three months ago, when it developed into an ulcer. After biopsy was performed at this site the ulcer healed spontaneously. A hyper-pigmented Acar can be seen. ‘!About four months ago a small superficial red area appeared on the left side of It increased in size to that of a 25 cent piece, became superthe dorsum of the tongue. *New

York

Dermatological

Society.