Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14749957536)

Identifier: syphilistreatise00haze (find matches)

Title: Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment

Year: 1921 (1920s)

Authors: Hazen, H. H. (Henry Honeyman), b. 1879

Subjects: Syphilis Syphilis

Publisher: St. Louis : C.V. Mosby Co.

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

Text Appearing Before Image:

Fig. 68.—In exceptional instances a gumma may have undercut edges. quently associated with erythema multiforme-like lesions in thesame locality. There is usually some fever, malaise and arthriticpains, and a general grippy condition. The nodes practicallynever ulcerate. The lesions of erythema induration or Bazinsdisease are due to a mild tuberculous process, and are usuallysymmetrical, commonly upon the lower portion of the calves.This disease chiefly affects young girls, especially those whoare much upon their feet. The lesions usually are smaller thanare the gummous syphilides, but this is by no means always true. LATE CUTANEOUS LESIONS 141 The symmetrical character of the lesions, the absence of othersigns of syphilis and the failnre to heal under antisyphilitic med-ication is diagnostic. Neoplasms usually develop much moreslowly and are not so inflammatory.

Text Appearing After Image:

Fig. 69.—Rupial crusts are not especially common. (Collection of Dr. Robert G. Wash-burn.) After ulceration several diseases must be differentiated:namely, varicose ulcers, tuberculous ulcers, carcinomata, sporo-trichosis and traumatic ulcers. Varicose ulcers arise only uponthe lower third of the legs, and usually near the ankle. Theyare always accompanied by varicose veins, either deep or morefrequently superficial. The ulcers are not deep as a rule and are 142 SYPHILIS often accompanied by an eczema of the surrounding skin. Thereare no other signs of syphilis, although such ulcers may occurin syphilitic patients. Tuberculosis of the skin practically alwaysstarts in persons under twenty years of age, and the lesions aremost commonly situated upon the face, especially the nose. Theyremain constant; do not come and go the way sj-philitic lesionsare prone to do. Their spread is always slow, it taking monthsbefore any considerable size is reached. The lesions are notpunched out, the sk

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1921

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