. Diseases of the mouth; for physicians, dentists, medical and dental students . 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
. Diseases of the mouth; for physicians, dentists, medical and dental students . 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. PLATE XVIII Figure 21.—Gummatous Ulcers of theMucous Membrane of the Hard Palate Figure 21.—Gummatous Ulcers o% iheMucous Membrane of the Hard Palate The entire mucous membrane of the hard palate isactively inflamed, (Edematous, swollen and dark redin color. Upon it are seen numerous long, bow-shaped superficial ulcers covered with a grayish-yellow membrane. In places the ulcers run togetherand form a reticulated ulcer. The ulcers have re-sulted from a central necrosis of protruding infil-trates. Eighteen years since, the patient had a chancreand bubo; had received some inimctions, but since thenhad taken no treatment. These idcers developedwithin four months before the existence of the con-dition, seen in the picture, and a sequestrum had is-sued from his nose within a week before the picturewas taken. The Wassermann reaction was positive. Notwithstanding the involvement of the bones ofthe nose in this case, these ulcers originated in themucous membrane and not from the periosteu
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Keywords: ., bookcentury1900, bookdecade191, booksubjectsyphilis, bookyear1912
