An American text-book of genito-urinary diseases, syphilis and diseases of the skin . ections of the rectum mayoccur as ulcerations of the mucous membrane, indurated or gummatousinfiltrations, and a productive inflammation which is attended by more orless new connective-tissue growth. The result of any of these syphiliticmanifestations is very apt to be rectal stricture. This process is more common in females than in males, and is undoubt-edly due to failure to receive prompt treatment. The prognosis depends upon the time which has elapsed between theinfection and the inauguration of treatment
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . ections of the rectum mayoccur as ulcerations of the mucous membrane, indurated or gummatousinfiltrations, and a productive inflammation which is attended by more orless new connective-tissue growth. The result of any of these syphiliticmanifestations is very apt to be rectal stricture. This process is more common in females than in males, and is undoubt-edly due to failure to receive prompt treatment. The prognosis depends upon the time which has elapsed between theinfection and the inauguration of treatment, being more favorable if the casecomes under treatment soon after the disease appears than if at a later period. Syphilis of the Anus.—Chancres occur about the anal ring and withinthe latter for a distance of an inch or more. When gummata develop abovethe internal sphincter, a narrowing or stenosis of the rectum at the seat ofthe lesion usually follows. The condition is made apparent by digital exami-nation. When occurring on the outside, gummata are usually irregular, oval, or. round, possibly fissured or creased, of a more or less pronounced red color,and generally covered with a slimy secretion. An enlargement of the inguinal glands accompanies the development ofchancres in this location. The fissures mentioned are not as painful as those produced by non-specific causes. Condylomata may occur, and are produced in the same manner as whendeveloped at other points (Fig. 220). SYPHILIS OF THE LIVER. Syphilis attacks the liver probably more often than any of the otherabdominal organs, and affects men oftener than women. Secondary.—That the liver is implicated in many cases of early syphilisis evidenced by the appearance of jaundice, usually of a mild type. Theyellow discoloration of the skin may be slight, or there may be a deep SYPHILIS OF THE LIVER. 687 brownish-yellow appearance. The above symptom is probably due to anirritation of the common bile-duct, rather than to any
Size: 1734px × 1441px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
