. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . more frequently mistaken for syphilis than it is correctly diagnosed. axillffi and groins, or upon the midline of the chest and is marked tendency for an early formation of scales andalso for some of the lesions to be annular, while there is alwaysa considerable variation in size. Some degree of itching is almostinvariably present. There are no constitutional symptoms andno other signs of syphilis. Erythema multiforme is usually more profuse upon the backsof the hands and forearms than
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . more frequently mistaken for syphilis than it is correctly diagnosed. axillffi and groins, or upon the midline of the chest and is marked tendency for an early formation of scales andalso for some of the lesions to be annular, while there is alwaysa considerable variation in size. Some degree of itching is almostinvariably present. There are no constitutional symptoms andno other signs of syphilis. Erythema multiforme is usually more profuse upon the backsof the hands and forearms than elsewhere, and it is far from rareto find it entirely confined to these locations. When the trunk is EARLY CUTANEOUS LESIONS 93 affected the lesions are apt to be extremely large. There isalways a marked tendency for the lesions to become annular,and a central vesicle is not uncommon. It is very important tonote that they are never scaly. Then, too, there is usually thehistory of recurring attacks, often at definite intervals. Thelesions do not itch, but are apt to be somewhat tender. The mu-. Fig. 21.—Acute seborrheic dermatitis may resemble syphilis. cous membranes may show inflammation and even superficialulceration, but never true mucous patches. The general symp-toms that sometimes accompany this disease may at times beslightly suggestive of syphilis, but there are no other definitefindings of syphilis, either laboratory or physical. 94 SYPHILIS Drug rashes are almost invariably of a much brighter colorthan are luetic eruptions, and some itching is almost is usually the history of the ingestion of some drug, andthe stopping of it causes the disappearance of the rash. Againit is important to note that both copaiba and cubebs are espe-cially apt to cause cutaneous erythemata, and many a personwho has taken one of these drugs for gonorrhea has been diag-nosed as a syphilitic because of the resultant eruption. In tinea circinata the lesions are usually compar
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
