title: Images in clinical medicine: Syphilitic gumma.
abstract: A 45-year-old woman presented to a clinic in rural Uganda with a 1-year history of a progressively enlarging ulcerated mass on the hard palate. The mass had initially been painless but recently had become painful and was causing difficulty in speaking and swallowing.
authors.affiliation: Bridge to Health Medical and Dental, Toronto, ON, Canada william@bridgetohealth.ca.
authors.forename: William
authors.initials: W
authors.lastname: Cherniak
authors.forename: Michael
authors.initials: M
authors.lastname: Silverman
mesh_terms: D005260:Female; D006099:Granuloma / Q000209:etiology / Q000473:pathology*; D006386:Hemagglutination Tests; D006801:Humans; D008875:Middle Aged; D021362:Palate, Hard / Q000473:pathology*; D013587:Syphilis / Q000175:diagnosis*; D014210:Treponema pallidum / Q000302:isolation & purification*