. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. gans, muscles, and bones. In the bones they form dense, hard, hemi-spherical, subperiosteal masses called nodes. Gummata of the skin andsubcutaneous tissue tend to break down and form deep ulcers, which healslowly and leave deep, disfiguring scars. Under treatment they are fre-quently absorbed. Gummata of the mucous membranes are especiallycommon in the mouth, nose, and pharynx. They involve underlying struc-tures and often give rise to extensive and deep ulceration and necrosis ofc
. Internal medicine; a work for the practicing physician on diagnosis and treatment, with a complete Desk index. gans, muscles, and bones. In the bones they form dense, hard, hemi-spherical, subperiosteal masses called nodes. Gummata of the skin andsubcutaneous tissue tend to break down and form deep ulcers, which healslowly and leave deep, disfiguring scars. Under treatment they are fre-quently absorbed. Gummata of the mucous membranes are especiallycommon in the mouth, nose, and pharynx. They involve underlying struc-tures and often give rise to extensive and deep ulceration and necrosis ofcartilage and bone. Perforation of the nasal septum, destruction of thenasal bones, perforation and more or less extensive destruction of the hardand soft palates, and adhesions of the uvula or soft palate to the pharyn-geal wall are common effects. Ulceration and necrosis of the cartilages ofthe larynx also occur. Stricture of the rectum is one of the results of gum-matous infiltration and ulceration. Syphilomata are common in the internalorgans. They sometimes form agglomerations of large size. Their usual. Fig. 2S1. -Tertiary syphilis (gununata).—Atlas of Clinical Medicine >Dr. Byrom Bramwell)By courtesy of the author. S^ 221 coui-se is to ^o fibroid iiictjiiiiorpliosis with puckerinj; and aortitis is the most (omiiioii cause of isolated aortic insufficiencyand anitic aneurism. ?Sy|)liilitic nodes and periostitis have already beendescribed. l<uither lesions are and deep necrosis, which maybecome ])erforatin,i,^ as in the Ijones of the cranium, the formation which may cause sei-ious and obscure pressure symptoms, as inthe brain or spinal cord or tlie articulations. Syphilitic dactylitis, oftenfollowed by permanent deformity, is the manifestation of gummatousinfiltration and periostitis of the bones of the fingers and toes. Much lesscommon are gunnnata of the muscles and myositis syphilitica. Amyloiddegenera
Size: 1300px × 1921px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
