A Syndrome of Gonorrheal Keratoderma

The following case is reported because of its unusual severity and fatal termination. This is the second case of this unusual condition which has come under my observation. A report of the first case was published in 1927. At that time about seventy cases of gonorrheal keratoderma had been reported in the literature; since then five more have been reported by Rostenberg, Flinn, Beatty, Jones and Housteen, making a total of seventy-five cases. REPORT OF CASE History.— A Mexican, aged 20, entered the orthopedic service of the Los Angeles General Hospital on Dec. 10, 1926. He had lived in Los Angeles for five years. He complained of pain in the left knee joint, the left wrist and the right ankle. He had pain in the chest and coughed. He also had pain in the back of the head and neck. There was an eruption over both legs, and he suffered