Tri-State medical journal and practitioner . Fig. r. Ulcero-Crustaceous Syphilide of Right Buttock. Early Stage, actual pathological inroads made by the disease. An interesting point inconnection with the destructive lesions is the existence of papules, moreor less discretely distributed, which is confirmatory of the fact that theprocess was in an early stage, irrespective of the time which had the papules just mentioned no other lesions were apparent on the 612 Original Articles. back; and the left buttock was entirely spared, the right one only beinginvolved. This evidently po
Tri-State medical journal and practitioner . Fig. r. Ulcero-Crustaceous Syphilide of Right Buttock. Early Stage, actual pathological inroads made by the disease. An interesting point inconnection with the destructive lesions is the existence of papules, moreor less discretely distributed, which is confirmatory of the fact that theprocess was in an early stage, irrespective of the time which had the papules just mentioned no other lesions were apparent on the 612 Original Articles. back; and the left buttock was entirely spared, the right one only beinginvolved. This evidently points to some local irritation as the excitingcause of the trouble, although no satisfactory history could be elicited^toconfirm this idea. The entire trouble seemed, in this particular case, to. Fig. 2. Ulcero-Crustaceous Syphilide of Face and Head. Advanced Stage. have been preceded by a greater or less thickening of the skin, evidence ofwhich may be seen in Figure 1, on and somewhat above the right does not appear, however, that this is a necessary precursor of the ulcero-crustaceous syphilide in every case. ULCERO SYPHILIDE—OHMANN-DUMESNIL. 613 An example of the advanced stage of the trouble is shown in Figure comparison of this with Figure 1 will readily show the marked dif-ference which exists between the cases. A mere glance at the picture willreveal a face which shows plainly the marks of dissipation and want of utter neglect of personal appearance is not only plain,but rather accent-uated, and the sullen appearance of the features speaks for itself and argues adisinclination to be cleanly and an utter disregard for all tidiness. * Theunkempt hair and disordered beard certainly speak strongly of the generallydemoralized condition of the indivi
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