. Photographic atlas of the diseases of the skin a series of ninety-six plates, comprising nearly two hundred illustrations, with descriptive text, and a treatise on cutaneous therapeutics. ide, as thename might imply, but they are always arranged in groups and areunsymmetrical, while the lesions of the early syphilides (macular,papular and pustular), whether few or many, are invariably dissemi-nated, and one side of the body is almost a duplicate of the other. The accompanying plate represents a tubercular syphilide ofthe serpiginous or creeping variety. It is evident at a glance thatthe most
. Photographic atlas of the diseases of the skin a series of ninety-six plates, comprising nearly two hundred illustrations, with descriptive text, and a treatise on cutaneous therapeutics. ide, as thename might imply, but they are always arranged in groups and areunsymmetrical, while the lesions of the early syphilides (macular,papular and pustular), whether few or many, are invariably dissemi-nated, and one side of the body is almost a duplicate of the other. The accompanying plate represents a tubercular syphilide ofthe serpiginous or creeping variety. It is evident at a glance thatthe most recent lesions have developed at the periphery of the patchand enclose an area from which earlier lesions have disappearedleaving more or less discoloration of the skin. Even the peripherallesions appear to have become flattened and scaly and are evidentlydisappearing, as they frequently do, even without treatment. Suchan eruption leaves no scars, but when nodules soften and ulcerate,small, smooth, whitish cicatrices remain as a permanent record. This patient gave no history of syphilitic infection, but withsuch a characteristic eruption the diagnosis was unmistakable. PLATE LXXXII. Copyri >, by G. i I. Fox. SYPHILODERMA TUBERCULOSUM. PLATE ULCERATIVUM SYPHILODERMA ULCERATIVUM. In the early syphilodermata ulceration is uncommon, althoughin the large papular and pustular forms of the disease round superficialulcers occasionally develop. In the late syphilodermata, ulcerationof greater or less extent may be considered as the rule rather thanthe exception. The tubercular or nodular eruption, appearing usually in groups,tends frequently to soften and to produce a number of superficialcrusted ulcers. In some cases of serpiginous character a crescenticband of ulceration may be noted at the extending border of the patch. The gummatous syphilide almost invariably softens and oftencauses deep and painful ulceration, which is followed by a disfiguringscar. The bo
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