Diseases of the mouth; for physicians, dentists, medical and dental students (1912) (14586509737)

Identifier: diseasesofmouth00zins (find matches)

Title: Diseases of the mouth; for physicians, dentists, medical and dental students

Year: 1912 (1910s)

Authors: Zinsser, Ferdinand

Subjects: Mouth Syphilis

Publisher: New York, Rebman

Contributing Library: Dentistry - University of Toronto

Digitizing Sponsor: University of Toronto

Text Appearing Before Image:

red, the diagnosis of syphiliswas excluded. Figure 45.—Lingua Geograpliica (Tlie Geo-grapliicai Tongue) This is a form of lingua geograpliica which verygreatly resembles a papular syphilide of the mucousmembrane of the tongue. On the tongue are tobe seen round and elliptical, quite smooth bluish-redspots, surrounded by a narrow darker red borderwhich is also surrounded by a whitish border of thick-ened epithelium. There is no infiltration, the nuicousmembrane of the rest of the tongue being normal. Without great care the efflorescence cannot be dis- 217 tinguished from smooth mucous patches of thetongue. In this case the diagnosis was especially difficultas the patient also had syphilis. This affection of thetongue, however, had existed since childhood and wasnot affected by the inunctions of mercury, which thepatient had taken. The appearance of the tonguerapidly changed, so that in a few days the form andarrangement of the spots were entirely altered. 218 Plate XXXVI. Figs. 44, 45

Text Appearing After Image:

PLATE XXXVII Figure 46.—Leukoplakia Linguae (Leuko-plakia of the Tongue) Figure 47.—Tuberculosis of the MucousMembrane of the Hard Palate Figure 46.—Leukoplakia Linguae (Leuko-plakia of the Tongue) In a man, seventy years of age, who had syphiUsin his youth, the mucous membrane of the entiremouth was altered, becoming thickened and callous-hke, and of a dull gray appearance, permitting thered of the underlying tissue barely to show itself andfeeling dry and hard. The entire surface of thetongue was divided into small fields by numerous finefurrows arranged in a reticular manner. In sep-arated localities the thickening of the epithelium ledto the formation of a horny layer, especially on thecheeks. On the left border of the tongue, oppositesome sharp stumps of teeth, a sort of ulceration oc-curred, but there was no pus and the lesion was cov-ered with epithelium. This lesion may be the begin-ning of carcinoma of the tongue, as it has beenobserved for over a year, and no change ha

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1912

University of Toronto

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