Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index (1920) (14781717901)

Tertiary syphilis (gummata)

Identifier: internalmedicine02wils (find matches)

Title: Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index

Year: 1920 (1920s)

Authors: Wilson, J. C. (James Cornelius), 1847-1934 Potter, Nathaniel Bowditch, 1869-1919

Subjects: Medicine Diagnosis

Publisher: Philadelphia, London, J. B. Lippincott Company

Contributing Library: Columbia University Libraries

Digitizing Sponsor: Open Knowledge Commons

Text Appearing Before Image:

gans, muscles, and bones. In the bones they form dense, hard, hemi-spherical, subperiosteal masses called nodes. Gummata of the skin andsubcutaneous tissue tend to break down and form deep ulcers, which healslowly and leave deep, disfiguring scars. Under treatment they are fre-quently absorbed. Gummata of the mucous membranes are especiallycommon in the mouth, nose, and pharynx. They involve underlying struc-tures and often give rise to extensive and deep ulceration and necrosis ofcartilage and bone. Perforation of the nasal septum, destruction of thenasal bones, perforation and more or less extensive destruction of the hardand soft palates, and adhesions of the uvula or soft palate to the pharyn-geal wall are common effects. Ulceration and necrosis of the cartilages ofthe larynx also occur. Stricture of the rectum is one of the results of gum-matous infiltration and ulceration. Syphilomata are common in the internalorgans. They sometimes form agglomerations of large size. Their usual

Text Appearing After Image:

Fig. 2S1. -Tertiary syphilis (gununata).—Atlas of Clinical Medicine >Dr. Byrom Bramwell)By courtesy of the author. S^lMIIl.IS. 221 coui-se is to iiiRUr.i^o fibroid iiictjiiiiorpliosis with puckerinj; and deformity.Sypliilitit aortitis is the most (omiiioii cause of isolated aortic insufficiencyand anitic aneurism. ►Sy;)liilitic nodes and periostitis have already beendescribed. l<uither lesions are e.xtensive and deep necrosis, which maybecome ))erforatin,i,^ as in the Ijones of the cranium, the formation ofe.xostoses which may cause sei-ious and obscure pressure symptoms, as inthe brain or spinal cord or tlie articulations. Syphilitic dactylitis, oftenfollowed by permanent deformity, is the manifestation of gummatousinfiltration and periostitis of the bones of the fingers and toes. Much lesscommon are gunnnata of the muscles and myositis syphilitica. Amyloiddegeneration is conunon in syphilis even in the absence of chronic sup-puration. It occurs especially in neglected case

atlas of clinical medicine bramwell gumma internal medicine a work for the practicing physician on diagnosis and treatment with a complete desk index 1920 book illustrations medicine syphilis sexually transmitted diseases and disorders clinical medicine images from internet archive

1920

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