Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14770565884)

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. 24.—A maculopapular sypliilide may closely resemble urticaria. and a wheal can be produced by rubbing the skin. Howeverit should be noted that a mild factitious urticaria is not infre-quently present during the secondary stage of syphilis. Drugrashes are of short duration, follow the ingestion of some drug,are brilliantly colored and usually itch. They speedily disappearwhen the use of the drug is discontinued. Pathologically there EARLY CUTANEOUS LESIONS 99

Text Appearing After Image:

Fig. 2S.—In maculopapular sypliilides there is a characteristic perivascular infiltration. is considerably more of perivascular infiltrate than in the mac-nlar form, but not so much as in the papular syphilide. Miliary Papular Syphilide Other names for this eruption are syphilitic lichen and smallacuminate syphilide. The miliary.or follicular lesions are muchmore common in the negro than in the white. In one hundredand seventy-six cases of secondary syphilis in the negro ten ofthis variety were noted. In whites it is unusual. The lesionsusually develop symmetrically over the whole body, with theexception of the palms and soles which are but rarely affected.The face usually shows lesions. The lesions appear around thehair follicles as firm pointed or rounded papules that are fromone to three millimeters in diameter and usually about one mil-limeter in height. At the apex there is frequently a scale oreven a minute pustule or vesicle. In the white race the lesionsare of a salmon color

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1921

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