BLENNORRHAGIC BALANITIFORM KERATODERMA: REPORT OF THREE ADDITIONAL CASES, INCLUDING ONE OF BUCCAL INVOLVEMENT

In a recently published article 1 two of us discussed a case of penile blennorrhagic keratoderma of abortive course and of a clinical appearance so closely resembling balanitis sicca circinata that the true nature of the lesion was revealed only by microscopic examination. Similar findings in the literature induced us to believe that so-called balanitis circinata sicca gonorrhoeica is actually penile keratoderma. Such a conception will prove of great practical interest because, unlike balanitis, blennorrhagic keratoderma indicates systemic gonorrheal infection. Furthermore, keratoderma is part of a definite syndrome which includes arthritis that is nonankylosing, as well as endogenous conjunctivitis (Chauffard and Fiessinger 2 ). Since our previous publication 3 additional cases have come under our observation. These form the basis of this report. REPORT OF CASES Case 1.— E. H., a white man aged 31, first noticed a urethral discharge on Jan. 5, 1938. He received no treatment for