Differential diagnosis of syphilitic and non-syphilitic affections of the skin, including tropical diseases : a survey for medical practioners and students / by George Pernet.

  • Pernet George.
Date:
1904
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Licence: In copyright

Credit: Differential diagnosis of syphilitic and non-syphilitic affections of the skin, including tropical diseases : a survey for medical practioners and students / by George Pernet. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    OBJECTIVE SIGNS to the weakening effects of tlie disease, leading to increasing feebleness and malnutrition. But there are variations in this condition also, owing to im- provement in the general health. Again, both infections, tuberculosis and syphilis, may occur in the same individual. Besides these, other causes, such as adhesions of the womb and so forth, may also give rise to repeated abortions. In estimating the evidence supplied by patients these various points need to be remembered. But it cannot be stated too often that the thing to aim at is to make the diagnosis of syphilis on the objective signs alone, without going into details of history, especially with women, as it may lead sometimes to complications, which are better avoided. For purposes of study and traming, in appropriate circumstances, it is essential to go into all the facts of the case. The collection of such notes is, of course, of the highest educational value. Another point is Sterility in women who have had syphilis. This may be a coincidence. Just as repeated abortions do not always spell syphilis, neither does non-pregnancy. Sterility may be due to various conditions in the female. It is sometimes forgotten that males also may be sterile from one cause and another. Having cleared off these preliminaries, I will now deal with the essential factors in diagnosis, viz. the objective signs. In the first place the skin lesions the patient complains about must be]^considered. Objective Signs.—The distribution is the first thing to note. The tertiary cutaneous manifestations