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
Catalogue details

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.

    51/240 (page 35)
    injections in sypliilitic subjects should be kept separately in a special tube for each patient. It is not uncommon to see one or more hard chancres about the pubes in Arabs (North Africa), owing to their habit of shaving these parts. The small wounds inflicted by the razor become infected by the virus. There are now a good many cases of Tattoo- syphilis on record, in some cases the primary ^ chancres being multiple. As tattooing is rather fashionable in the upper walks of life, especially among visitors to the Bast (Burma, Japan), one must be on the look-out for such an untoward com- plication, the more so as syphilis is very rife in Asia. Chancres of the breast require to be dealt with here in a more detailed way. In the case of wet- nurses the breasts should be carefully examined for any excoriations as weU as for otlier reasons. On the other hand, medico-legal points may arise in con- nection with the infection of such a nurse by a congenitally syphilitic infant. In this situation, the chancre is usually single, presenting itself in advanced stages as a punched-out lesion with a floor of a raw meat or beefy colour and somewhat raised borders. But it varies in aspect. In other cases, multiple chancres are present studded about the nipple : small, punched-out lesions with raised borders. The usual signs must be investigated, and in the latter case a secondary syjihilide would I have to be excluded by a general examination. Chancres of the female breast are not only com-