. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . han in men, probably due to the beard of the male hidingthe characteristic slight color changes. Maculopapular Syphilide The ordinary lesions of maculopapular syphilis are simply across between macules and papules. They occur chiefly on thetrunk and limbs, and the face is usually spared, also the palmsand soles are but rarely affected. In general appearance thelesions unquestionably resemble the wheals of urticaria, but arepersistent and not transient. They are oval in shape, the longaxis tending
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . han in men, probably due to the beard of the male hidingthe characteristic slight color changes. Maculopapular Syphilide The ordinary lesions of maculopapular syphilis are simply across between macules and papules. They occur chiefly on thetrunk and limbs, and the face is usually spared, also the palmsand soles are but rarely affected. In general appearance thelesions unquestionably resemble the wheals of urticaria, but arepersistent and not transient. They are oval in shape, the longaxis tending to be parallel with the direction of the ribs. Inlength they vary from one-third to two-thirds of an inch. In 98 SYPHILIS color they are pale pinlv, and the definition is sharp, and theyare distinctly palpable. In the negro these lesions occasionallybecome annular. The lesions run about the same course thatthe macular lesions do. The differential diagnosis must be madefrom urticaria and a drug rash. In urticaria the lesions arerarely so profuse, they are transitory and usually itch intensely,. Fig. 24.—A maculopapular sypliilide may closely resemble urticaria. and a wheal can be produced by rubbing the skin. Howeverit should be noted that a mild factitious urticaria is not infre-quently present during the secondary stage of syphilis. Drugrashes are of short duration, follow the ingestion of some drug,are brilliantly colored and usually itch. They speedily disappearwhen the use of the drug is discontinued. Pathologically there EARLY CUTANEOUS LESIONS 99
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
