. Virginia medical monthly . palate and base oftongue, but never in the larynx, though M. KrishaberJ claimsto have seen a chancre on the anterior surface of the epi-glottis. The secondary lesions appear as erythema, erosions, mu-cous patches, ulcerations and vegetations. The tertiary, as gommata, inflammations, necroses andcaries of the cartilages. Acute oedema, with its attendant danger to life, is generallypreceded by a rigor or chill, and may accompany both thesecondary and tertiary forms of laryngeal syphilis. Mucous patches, which may occur in any portion of thelarynx, present an opaline
. Virginia medical monthly . palate and base oftongue, but never in the larynx, though M. KrishaberJ claimsto have seen a chancre on the anterior surface of the epi-glottis. The secondary lesions appear as erythema, erosions, mu-cous patches, ulcerations and vegetations. The tertiary, as gommata, inflammations, necroses andcaries of the cartilages. Acute oedema, with its attendant danger to life, is generallypreceded by a rigor or chill, and may accompany both thesecondary and tertiary forms of laryngeal syphilis. Mucous patches, which may occur in any portion of thelarynx, present an opaline gray or smoky color, have a glossyor glazed surface, which is tucked or wrinkled, and a slightlydepressed centre. Their outline is irregularly rounded oroval, elevated slightly above the surrounding mem-branes, and are encircled by elevated borders of. a rose color. ?Browne, Diseases of the Throat, p. 213.+Van Buren, Am. Med. Times, July 7, i860. Jlsambert, Conferences Cliniqaes sur les Maladies du Larynx, p. 520 ORIGINAL COMMUNICATIONS—MORGAN. These patches are single or multiple, and can ulcerate,break down and become very much like follicular hyper-plasias * In fourteen cases of laryngeal syphilis, Krishaberand Mauriacf found mucous patches in the larynx in ten. Gommata, or syphilomata, varyfrom the size of a hemp-seed tothat of a large pea, are rounded,smooth, sometimes glossy, of ayellow color, and have a tendencyto break down, and leave ulcers^ whose bases are gray. Gommata Xt^VlASS^^^ are single or multiple, and there-suiting ulceration, when deep, may give rise to cartilagenouslesions which generally follow those of the mucous membrane. Laryngoscopical Appearances.—In ordinary superficiallaryngeal syphilis or erythema, there exists much the samelaryngoscopic appearances as in catarrhal laryngitis. Thereis hyperemia and a reddening of the vocal cords, confinedusually to their posterior portion, which redness is more pro-nounced near the arytenoids, and
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectmedicine, bookyear187
