. Diseases of the mouth; for physicians, dentists, medical and dental students . PLATE XVI Figure 19.—Angina Ulcerosa (UlceratedSyphilitic Angina) Figure 19.—Angina Ulcerosa (UlceratedSyphilitic Angina) Congestion and cedenia of the mucous membraneof the fauces, and especially of the uvula, areto be seen. In the middle of the soft palate,above the uvula, there are small flat ulcerationswith a grayish coating. The mucous mem-brane, to the right of the uvula, is puffed up and atthe right, between the anterior and posterior pillarsof the fauces, is a flat ulcer covered with a dirty gray-ish-yello


. Diseases of the mouth; for physicians, dentists, medical and dental students . PLATE XVI Figure 19.—Angina Ulcerosa (UlceratedSyphilitic Angina) Figure 19.—Angina Ulcerosa (UlceratedSyphilitic Angina) Congestion and cedenia of the mucous membraneof the fauces, and especially of the uvula, areto be seen. In the middle of the soft palate,above the uvula, there are small flat ulcerationswith a grayish coating. The mucous mem-brane, to the right of the uvula, is puffed up and atthe right, between the anterior and posterior pillarsof the fauces, is a flat ulcer covered with a dirty gray-ish-yellow membrane, which extends to the posteriorpharyngeal wall. The edges of the anterior and pos-terior pillars of the fauces have been destroyed by theulcerative process. The patient, who had contracted syphilis threeyears before, had taken insufficient treatment. Inaddition to the ulcerated angina a pustular syphilidewas present, and the Wassermann reaction was posi-tive. 182 Plate XVI. Fig. 19. PLATE XVII Figure 20.—Circinate Mucous PatchesAbout the Mouth and Nose Figure 20.—Circinate Mucous PatchesAbout the Mouth and Nose About the mouth is a group of slightly raisedbrownish-red-colored, ring and garland-formed mu-cous patches with slightly desquamating situation about the mouth is characteristic ofsyphilis and an important sign in its diagnosis. Thecircinate mucous patch has a special predilection forthis locality. Sometimes a differential diagnosis must be madebetween this affection and herpes tonsurans. Thealmost uniform size of the rings, the slight desquama-tion and the relatively firm infiltration help to dis-tinguish this affection from herpes tonsurans. Inherpes tonsurans the fungi and in these mucouspatches the treponemata pallida are easily found. In this case there were condylomata about thegenitals and a papulo-squamous eruption. 136 Plate XVU. Fig. 20


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Keywords: ., bookcentury1900, bookdecade191, booksubjectsyphilis, bookyear1912