. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 133.—Under the high power, the characteristic syphilitic infiltration can be well. seen. (Collection of Drs. Fordjce and MacKee.) secondary infection as Mil on* has pointed out. Pathologicallythe changes are usually diffuse: the surface may show adhe-sions, but usually the surface is smooth. On section it is firmerthan normal, and there is some mottling due to some portions be-ing more affected than others, there being yellowish areas. Smallgray spots are usually to be distinguished; these a
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 133.—Under the high power, the characteristic syphilitic infiltration can be well. seen. (Collection of Drs. Fordjce and MacKee.) secondary infection as Mil on* has pointed out. Pathologicallythe changes are usually diffuse: the surface may show adhe-sions, but usually the surface is smooth. On section it is firmerthan normal, and there is some mottling due to some portions be-ing more affected than others, there being yellowish areas. Smallgray spots are usually to be distinguished; these are small 430 SYPHILIS. Fig. 134.—The pancreas can be involved in congenital syphilis. (Collection of Drs. Fordjce and MacKee.) gummata. Microscopically there is a proliferation of the con-nective tissue elements, and of the endothelium of the capil-laries and lymphatics inside the hepatic lobules. Character-istic changes around the larger vessels are usually to be made Congenital syphilis 431 out. As a late stage it is found that the individual liver cellsmay be separated one from the other by the proliferated fibroustissue. Still later there may be well-marked bands of fibroustissue that transverse the organ. When the hepatic changes do not occur until a late datethey are comparable to those of late acquired syphilis. Thedisease is not very rare: cases have been reported by Wilks,^^Morris,^^ Fournier/^ Hudelo,*- Forbes,°^ Mackenzie^* andothers. Lardaceous changes frequently complicate the picture. The parasyphilitic multilobular cirrhosis is not a result ofthe ordinary pericellular cirrhosis so common i
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
