A manual of syphilis and the venereal diseases, . Pustulo-ulcerative syphiloderm, with survival of sclerosis of the penis. Plate Pustulo-ulcerative syphiloderm in a cachectic subject. SYPHILIS OF THE SKIN. 107 in other diseases, and the name rupia was given to themalady exhibiting these features. One of the axiomsof the dermatology of to-day is that the symptoms ofrupia are those of syphilis. Prior to the formation ofthese crusts there is always a history of, first, infection;second, of the evolution of pustular or bullous lesionswith hemorrhagic or semi-purulent contents; third, ofthe bu
A manual of syphilis and the venereal diseases, . Pustulo-ulcerative syphiloderm, with survival of sclerosis of the penis. Plate Pustulo-ulcerative syphiloderm in a cachectic subject. SYPHILIS OF THE SKIN. 107 in other diseases, and the name rupia was given to themalady exhibiting these features. One of the axiomsof the dermatology of to-day is that the symptoms ofrupia are those of syphilis. Prior to the formation ofthese crusts there is always a history of, first, infection;second, of the evolution of pustular or bullous lesionswith hemorrhagic or semi-purulent contents; third, ofthe bursting of the chambers containing these fluids;fourth, of their desiccation into greenish or greenish-black crusts, at first scarcely larger than a pea or a bean,later attaining the size even of a pullets egg; and, lastly,of a series of elevations of the stratified and conicalcrusts by successive accumulations from a constantlywidening area beneath, until the picture of the rupioidskin is complete. When repair ensues the crusts fall,the ulcers granulate and become simple and shallower,and cicatrization concludes the history. He
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