Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14586470757)

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:

ESIONS 125 is a matter of frequent observation; and with regard to the third,bearing in mind the large quantities of potassium iodide takenfor the relief of the disease and its capability of exciting avesicular eruption, it can reasonably be concluded that some atleast of the cases of so-called vesicular syphilis have been im-perfectly studied. That a true syphilitic lesion represented bybullae does occur there can be no doubt, but it is unusually rare.For a more lengthy discussion of this problem the reader is re-ferred to the discussion of Foxs paper. Bullous lesions are likewise extremely rare; however, theymay occur upon the extremities, and be indolent in their course.As a rule they occur early in cachectic subjects. They must bedistinguished from pemphigus and bullous erj^thema multiforme. Neurosyphilide The neurosyphilide of Unna,-^ or the annular macularsyphiloderm is an uncommon type of lesion that may appear infrom six weeks to two years after the initial lesion. The lesions

Text Appearing After Image:

Fig-. 52.—The neurosyphilide of Unna is believed to be due to nerve involvementrather than to the local action of the treponema upon the skin. are stated by Unna not to sIioav any of the histologic picture ofa syphiloderm, but to be due to syphilis of the nerves, and to bea trophic disturbance comparable to the anesthetic type of lep-rosy. While this work has never been confirmed, there can beno doubt that there is a type of lesion that almost exactly re-sembles erythema multiforme, for the lesions are circular, butslightly raised, do not scale, give rise to no subjective disturb-ances, and are very chronic. They disappear but slowly under 126 SYPHILIS specific treatment. Their clironicity and the findings of otherevidences of syphilis serve to distinguish them from erythemamultiforme, seborrheic dermatitis and ring worm. HowardFox^* has recently reported a case. In addition to the lesions already described, there are anumber of rare forms. For instance, any of the lesions may be-co

сифилис трактат по этиологии патологии диагностика прогноз профилактика и лечение 1921 книжные иллюстрации лекарство медицинские иллюстрации история болезни изображения из интернет-архива

1921

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