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Syphilitic Paronychia: An Unusual Complaint

Syphilitic Paronychia: An Unusual Complaint Abstract To the Editor.— Paronychia has been said to be the most frequent form of nail involvement in syphilis.1-4 Pardo-Castello and Pardo report having seen many cases where ulcerative paronychia ". . . was the only apparent symptom of cutaneous syphilis, or at the most was accompanied by interdigital macerated papules of erosive character."5 However, in the 6,047 cases of syphilis observed by Bergh from 1864 to 1874, at the Copenhagen Hospital, only four cases of syphilis of the nail were observed.2 Samman reports that the nail changes of syphilis are rare in England.6 Case reports of syphilitic paronychia are decidedly unusual.7-9 We recently saw a young woman whose presenting complaint was painful paronychia. Report of a Case A 40-year-old Negro woman was examined at the University of Arkansas Dermatology Clinic in May 1971. Her chief complaint was marked pain and tenderness of her fingertips of eight weeks' duration. References 1. White CJ: The clinical study of 485 cases of nail disease . Boston M & S J 147:537-542, 1902. 2. Adamson HG, McDonagh JER: Two unusual forms of syphilitic nails: With some general remarks upon syphilis of the nail . Brit J Derm 23:68-77, 1911. 3. Ormsby OS, Montgomery H: Diseases of the Skin . Philadelphia, Lea & Febiger, 1954, pp 1439-1442. 4. Allen AC: The Skin: A Clinicopathological Treatise . New York, Grune & Stratton Inc, 1967, p 445. 5. Pardo-Castello V, Pardo OA: Diseases of the Nails . Springfield, Ill, Charles C Thomas Publisher, 1960, pp 184-197. 6. Samman PD: The Nails in Disease . London, William Heinemann Medical Books Ltd, 1965, pp 95-96. 7. Fox H: Obstinate syphilitic onychia and gumma of the nose successfully treated by fever therapy (Kettering Hypertherm) . Arch Derm 44:1155, 1941. 8. Stokes JH, Beerman H, Ingraham NR: Modern Clinical Syphilology . Philadelphia, WB Saunders Co, 1944, pp 751-752. 9. Sutton RL Jr: Diseases of the Skin . St. Louis, CV Mosby Co, 1956, p 1368. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Syphilitic Paronychia: An Unusual Complaint

Syphilitic Paronychia: An Unusual Complaint

Abstract

Abstract To the Editor.— Paronychia has been said to be the most frequent form of nail involvement in syphilis.1-4 Pardo-Castello and Pardo report having seen many cases where ulcerative paronychia ". . . was the only apparent symptom of cutaneous syphilis, or at the most was accompanied by interdigital macerated papules of erosive character."5 However, in the 6,047 cases of syphilis observed by Bergh from 1864 to 1874, at the Copenhagen Hospital, only four cases of syphilis...
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Publisher
American Medical Association
Copyright
Copyright © 1972 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1972.01620060088021
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— Paronychia has been said to be the most frequent form of nail involvement in syphilis.1-4 Pardo-Castello and Pardo report having seen many cases where ulcerative paronychia ". . . was the only apparent symptom of cutaneous syphilis, or at the most was accompanied by interdigital macerated papules of erosive character."5 However, in the 6,047 cases of syphilis observed by Bergh from 1864 to 1874, at the Copenhagen Hospital, only four cases of syphilis of the nail were observed.2 Samman reports that the nail changes of syphilis are rare in England.6 Case reports of syphilitic paronychia are decidedly unusual.7-9 We recently saw a young woman whose presenting complaint was painful paronychia. Report of a Case A 40-year-old Negro woman was examined at the University of Arkansas Dermatology Clinic in May 1971. Her chief complaint was marked pain and tenderness of her fingertips of eight weeks' duration. References 1. White CJ: The clinical study of 485 cases of nail disease . Boston M & S J 147:537-542, 1902. 2. Adamson HG, McDonagh JER: Two unusual forms of syphilitic nails: With some general remarks upon syphilis of the nail . Brit J Derm 23:68-77, 1911. 3. Ormsby OS, Montgomery H: Diseases of the Skin . Philadelphia, Lea & Febiger, 1954, pp 1439-1442. 4. Allen AC: The Skin: A Clinicopathological Treatise . New York, Grune & Stratton Inc, 1967, p 445. 5. Pardo-Castello V, Pardo OA: Diseases of the Nails . Springfield, Ill, Charles C Thomas Publisher, 1960, pp 184-197. 6. Samman PD: The Nails in Disease . London, William Heinemann Medical Books Ltd, 1965, pp 95-96. 7. Fox H: Obstinate syphilitic onychia and gumma of the nose successfully treated by fever therapy (Kettering Hypertherm) . Arch Derm 44:1155, 1941. 8. Stokes JH, Beerman H, Ingraham NR: Modern Clinical Syphilology . Philadelphia, WB Saunders Co, 1944, pp 751-752. 9. Sutton RL Jr: Diseases of the Skin . St. Louis, CV Mosby Co, 1956, p 1368.

Journal

Archives of DermatologyAmerican Medical Association

Published: Mar 1, 1972

References