. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . ^ pathognomonic ofsyphilis. It is usual for such a lesion to make considerableheadAvay before the patient is aware that there is any troublewhatever, and the first indication is the sloughingout of pieces of bone. HoAvever, the first evidence is, of I^ig. 94.—Interstitial gummous glossitis is fairly common and gives rise to deep fissures. a soft swelling of the mucous membrane over the affected area,the center of which soon breaks down. Very extensive destruc-tion may take pl


. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . ^ pathognomonic ofsyphilis. It is usual for such a lesion to make considerableheadAvay before the patient is aware that there is any troublewhatever, and the first indication is the sloughingout of pieces of bone. HoAvever, the first evidence is, of I^ig. 94.—Interstitial gummous glossitis is fairly common and gives rise to deep fissures. a soft swelling of the mucous membrane over the affected area,the center of which soon breaks down. Very extensive destruc-tion may take place unless treatment is energetically carriedout; the mouth and nasal cavity may become one. In all casesof ulcers of the mouth a probe should be used to determinewhether there be any underlying necrosed bone. The healing of gummous ulcers in soft tissue always results inscar tissue formation, and this is apt to be in the form of radiat-ing cicatrices, which distort the noninvolved adjacent ulcerating surfaces often become united; hence it 170 SYPHILIS is not uncommon to find the uvula and even more of the softpalate united to the posterior wall, while respiration may becarried on through a perforation of the palate. Very small per-forations of either the hard or soft palate may close spontane-ously, but the large ones remain open unles


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192