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REPORT OF A CASE OF GONORRHŒA WITH PURPURA RHEUMATICA.

REPORT OF A CASE OF GONORRHŒA WITH PURPURA RHEUMATICA. The occurrence of purpura as a complication of gonorrhŒal rheumatism has been noted so seldom that I report the following case: March 2. Mr. B., æt. 19, milkman, with a previous history of chronic gonorrhŒa, has had an acute exacerbation since February 8; also an efflorescence on lower extremities since February 26; also pain and swelling of several joints, March 2. On examination: penis Œdematous; purulent discharge from urethra, containing gonococci; inguinal lymph glands swollen spindle-shaped. A symmetrically distributed efflorescence of anterior and inner aspect of leg, and inner aspect of thighs extending into gluteal regions; over left ankle, the most troublesome joint, skin thickly covered; also upper extremities present a limited number about the wrists; rest of body free. The great majority of the lesions macular, some slightly elevated, of definite, irregularly circular outlines; sizes varying from pinhead to one-cent piece in area; in color a deep bluish-red, not http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

REPORT OF A CASE OF GONORRHŒA WITH PURPURA RHEUMATICA.

JAMA , Volume XII (18) – May 4, 1889

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Publisher
American Medical Association
Copyright
Copyright © 1889 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.1889.02400950009001d
Publisher site
See Article on Publisher Site

Abstract

The occurrence of purpura as a complication of gonorrhŒal rheumatism has been noted so seldom that I report the following case: March 2. Mr. B., æt. 19, milkman, with a previous history of chronic gonorrhŒa, has had an acute exacerbation since February 8; also an efflorescence on lower extremities since February 26; also pain and swelling of several joints, March 2. On examination: penis Œdematous; purulent discharge from urethra, containing gonococci; inguinal lymph glands swollen spindle-shaped. A symmetrically distributed efflorescence of anterior and inner aspect of leg, and inner aspect of thighs extending into gluteal regions; over left ankle, the most troublesome joint, skin thickly covered; also upper extremities present a limited number about the wrists; rest of body free. The great majority of the lesions macular, some slightly elevated, of definite, irregularly circular outlines; sizes varying from pinhead to one-cent piece in area; in color a deep bluish-red, not

Journal

JAMAAmerican Medical Association

Published: May 4, 1889

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