. Diseases of the mouth; for physicians, dentists, medical and dental students . mbrane areseveral ulcerations. On the left side of the upper lipis an ulcer with a concave floor covered with an ad-herent yellow coating and with dried somewhat hem-orrhagic crusts on its border. On the lower lip near the right angle of the mouththe mucous membrane is puffed up and covered witha slight grayish coating. Irregular, hollowed outand furrowlike ulcers cross it. The ulcers are the mucous membrane of the gums (above) thereis seen a flat ring-shaped mucous patch. The patient had syphilis for f
. Diseases of the mouth; for physicians, dentists, medical and dental students . mbrane areseveral ulcerations. On the left side of the upper lipis an ulcer with a concave floor covered with an ad-herent yellow coating and with dried somewhat hem-orrhagic crusts on its border. On the lower lip near the right angle of the mouththe mucous membrane is puffed up and covered witha slight grayish coating. Irregular, hollowed outand furrowlike ulcers cross it. The ulcers are the mucous membrane of the gums (above) thereis seen a flat ring-shaped mucous patch. The patient had syphilis for foiu- years, which hadbeen insufficiently and irregularly treated. The ul-cers in the mouth existed about four weeks. Theymight possibly be mistaken for tuberculosis, but theirshort duration, their gray borders and the presenceof a characteristic syphilitic angina indicated margins of these ulcers do not show the finelyserrated or cutout borders which are to be observedin tubercular ulcerations. The tongue of tliis patientis shown in Fig. 13. 98 Plate VIII. Fig. 9. PLATE IX Figure 10.—An Ulcerated Annular Syphilideof the Lower Lip Resembling a Serpigi-nous Ulcer Figure 10.—An Ulcerated Annular Syphilideof the Lower Lip Resembling a Serpigi-nous Ulcer On the vermilion of the lower lip is a ring-shapedulcer, having a transverse diameter of about 2 to 3 ulcer is quite narrow, comparatively deep, withprecipitous walls and its floor is covered with addition to this lesion there was a suspicious an-gina, a leukoderma colli and a positive Wassermannreaction. (The annular ulcer does not develop intoa serpiginous ulcer by peripheral growth, as thecentre is not made up of scar tissue, but it is thoughtthat the border of a papular infiltrate has undergoneulceration.) 102 Plate IX. Fig. 10
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Keywords: ., bookcentury1900, bookdecade191, booksubjectsyphilis, bookyear1912
