. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . blished a review of the various pig-mentary changes. Either the secondary or tertiary lesions mayleave pigmented or more rarely depigmented areas, the syphiliticleucoderma described in Chapter VI being one of the best knownof the rarer forms. It is extremely common for papules to leavepigmented spots which may persist for many years. The same istrue of either gummata or nodular lesions, and no further men-tion of them is necessary, except to point out their diagnosticimportance; it is generally c


. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . blished a review of the various pig-mentary changes. Either the secondary or tertiary lesions mayleave pigmented or more rarely depigmented areas, the syphiliticleucoderma described in Chapter VI being one of the best knownof the rarer forms. It is extremely common for papules to leavepigmented spots which may persist for many years. The same istrue of either gummata or nodular lesions, and no further men-tion of them is necessary, except to point out their diagnosticimportance; it is generally conceded that the presence of pig-mented scars upon the upper portion of the shins is extremelysuggestive of syphilis. Atrophic Changes A condition spoken of as atrophia maculosa luetica has beendescribed by Alexander and Zenger,- Bohac, Volk* and this condition there are present either pigmented or somewhatdepigmented, slightly depressed, atrophic spots that to some ex-tent resemble old chicken pox scars. They are apparently dueto a destruction of the elastic tissue. 149 150 SYPHILIS. Fig. 78.—As a result of syphilis remarkable pigmentary changes may develop. Theselesions are not always influenced rapidly by treatment.


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192