File:A manual of syphilis and the venereal diseases, (1900) (14759516366).jpg

Identifier: manualofsyphili00hyde (find matches)
Title: A manual of syphilis and the venereal diseases,
Year: 1900 (1900s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862-1908
Subjects: Syphilis Sexually Transmitted Diseases
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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4 SYPHILIS AND THE VENEREAL DISEASES. It is somewhat difficult, and from a diagnostic pointof view not highly important, to distinguish betweenthe miliary and the lenticular pustules of syphilis, sincethe former are freely convertible into the latter, and theessential difference between all is merely the degree towhich in each the minute abscess spreads in area and indepth. In the one class or the other are evolved thefollowing clinical types : I. Pustules situated at the orifice of the pilosebaceouscrypt, occurring chiefly where those accessories of theskin are largest and most abundant (scalp, face, and upperchest). In these regions minute or even large bean-sized, acuminate, and conical or flattened pustules form;these pustules desiccate into thin crusts or furnish asuperficial area of pustulation. The cicatrices left arerarely conspicuous or even permanent; more distressingto the patient is the brownish stain left. The lesionsare often distinctly grouped. The general aspect of the
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Fig. 2.—Large pustular syphiloderm (Stelwagon). region thus involved (lips, nose, forehead, etc.) is one ofextreme dirtiness, even the regions of the skin not dis-playing eruptive symptoms being unwholesome inappearance and muddy in hue. 2. In a second clinical form the pustules are larger,usually flatfish, and, after attaining the size of a pea orthat of a large bean, surmount superficial, rarely verydeep, circumscribed ulcers (Fig. 2). Here the pus-formation is decidedly more abundant; the copper-colored or even chocolate-tinted pigmentation left after Plate 9.

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