40Q 
Case 29.— M. J.; 12 years; Black. 
January 16th, 1903. Numerous small, perfectly-smooth limpets, which when 
removed are horny cups covering a granular raised papilloma identical with 
frambesia. These are over the face, hands, and body. They are about 6 to 10 
mm. in size. A few of the papillomata have yellow crusts as is usual for 
frambesiae. On the left ankle is a spreading patch of a mildly lupoid appearance, 
the edge being active, and in the centre of this is an ordinary frambesia. This 
is probably the mother yaw. Treated with liq. hydrarg. perch. 
February 19th, 1903. The limpets and horns are larger. 
February 12th, 1904. A small rupia over left eyebrow, small tubboes on both 
soles. Circular wall of rupial scab on both hands at the base of the fourth and 
fifth fingers. Rhagades between the fingers of the left hand. No marks of the 
previous limpet eruption. This exemplifies a dry type of papilloma, and also 
shows later secondaries of rupial type. 
Case 30.— F. C.; age not noted; Black. 
December 30th, 1902. lias a dry crusted frambesia on the wrist. Suppura¬ 
tive dermatitis of both palms and both soles. Multiple small pigmented marks 
as of a vesicular or pustular eruption on both legs. Psoriasis on both elbows and 
knees. Took pot. iod. for five weeks and left off attending. 
I have seen papular groups, without scaliness, on the knees and elbows in 
syphilitic cases so often, that I doubt the opinion that psoriasis in this situation 
is never syphilitic. 
September 14th, 1903. Tubboes on soles, and plantar .and palmar psoriasis 
Icrab yaws), keratitis. V oice raucous. This illustrates the polymorphism of the 
eruptions and the symmetry so characteristic of syphilis. 
Case 31. — C. B.; 30 years; White. 
January 2nd, 1906. Has a child with yaws. Ulcer on heel about 20 mm. 
wide, with thickened raised edges, and ichorous discharge. This began as a 
pimple two months before. The first eruption was that now on the same foot 
and lower leg, which is a moist dermatitis. There are crusted ecthymata and 
aciniform eruptions all over the body and sparsely on the limbs and face. Slight 
fever every evening. Urine high coloured. Rheumatoid pains in shoulders. 
Paronychia of one finger. No enlarged glands. Given liq. hydrag. perch. 
February 13th, 1906. Profuse small spots of silvery scaly psoriasis on both 
arms and thighs. In the bend of right elbow are three drying frambesiae 
Several frambesiae round the trunk, and a profuse eruption of them on the left 
foot. Few on the right leg. Groin glands enlarged. No fever pains or 
malaise. All frambesiae are small and not much raised. Received a course °‘ 
seven injections of salalembroth during which the smaller eruptions faded, but 
frambesiae continued to appear. Was rested for a month from mercury. e 
end of this time the skin was nearly clean and only a few frambesiae left. on- 
tinued on liq. hydrag. perch. 
Case 32.— M. P.; 8 years; Black. , , , 
>906. Sent to hospital as a case of syphilis by a medical officer who had 
ust come out. Frambesiae on two toes. Condyloma of anus. on y 
jf prepuce and circinate plaques on the glans penis. F.nlarge § rmr * g a j 
ncumcised and treated with six injections of salalembroth. v ul e 
discharged. 
^ ASE 33 — A- W.; 9 years; Black. , , k 
1906. Two large frambesiae by the side of a scabbec sore °i even 
' e !pfl f °ot; and whole body, limbs and face covered with spots o P . j r „ e 
Palms of the hands. Hard glands in both groins, left being especially large. 
Clands on elbow. 
