. American practice of surgery ; a complete system of the science and art of surgery . -phi-. FiG. 2-5.—A Group of Sj-philitic Leg Ulcers. litic leg ulcers may be due to subcutaneous or subperiosteal gumma as well as togumma of the skin: yet syphilitic leg ulcer is so pre-eminently the type of allS}i3hilitic skin ulcerations that its description may suffice for our purpose. The lesions, for they are usually multiple, may be grouped or scattered, buttheir distribution is characteristic. They may occiu ani/ichere in the upper partof the leg, hut when near the ankle they generally occur on the ex
. American practice of surgery ; a complete system of the science and art of surgery . -phi-. FiG. 2-5.—A Group of Sj-philitic Leg Ulcers. litic leg ulcers may be due to subcutaneous or subperiosteal gumma as well as togumma of the skin: yet syphilitic leg ulcer is so pre-eminently the type of allS}i3hilitic skin ulcerations that its description may suffice for our purpose. The lesions, for they are usually multiple, may be grouped or scattered, buttheir distribution is characteristic. They may occiu ani/ichere in the upper partof the leg, hut when near the ankle they generally occur on the external (fibular)aspect, not on the internal (tibial) aspect, of the leg. This is the first strrkingfeatm-e to distinguish them from varicose ulcers, which always occur on the lowerthird of the leg and are most marled on its inner (tibial) side. The lesion, beginning as a tubercle or as a group of tubercles, rapidly becomesan ulcer—circular, if arising from a single lesion: or with a border made up of aseries of segments of circles if. as is the rule, it is formed bv the coalescence of
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
