File:A manual of syphilis and the venereal diseases, (1900) (14782510755).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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ave gained thetitle of the corona veneris. When papules form upon apposed surfaces, such as theskin covering the voluminous breasts falling over thethorax in women, or the folds of the nates in contact, or thescrotum lying next the integument of the thigh, papulesenlarge, flatten, secrete, and in many cases produce asensation of itching. Papules forming upon mucous sur-faces also, by reason of the heat, moisture, and frictionto which they are subjected, become flattened andsecrete, forming thus the mucous patch. Papules de-veloping upon or beneath the thick epidermis of thepalms and the soles of adults are so bound down thatthey rarely rise above the general level, but the crackingof the scarf-skin at the level of the thickened subepi-dermic focus produces a characteristic scaling of theskin in the regions named. Dry Papules.—(a) Miliary Papules.—-This abundantefflorescence is less frequently noted than other of thepapular syphilodermata, for the reason that its very pro- Plate 4.
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Small papular syphiloderm (Stelwagon). SYPHILIS OF THE SKIN. 91 fuseness argues a neglected or ignored condition of thesubject of the disease in its prior manifestations. Sincethese neglected and ignored patients are often women,the eruption is somewhat more often observed inthem. The lesions are pin-head-sized, closely-com-mingled, conical or rounded, occasionally umbilicatedpapules, symmetrically arranged, often widely dispersed,and even generalized, at times distinctly and even ele-gantly grouped in circles or segments of circles, lightreddish to deep crimson in shade, the apex of eachpapule at times surmounted by a still finer vesicle con-taining a droplet of serum—an accident which usuallypoints to a coincident febrile access. Involution occursby fine scaling at the apex of each lesion and flatteningof the papules to a dull, purplish-red maculation of thesurface. In rare cases, chiefly of public patients, thiseruption may be merely the preliminary stage of adiffuse pustular syp

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