. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . found upon the body of the penis. An annular chancre is one in which a ring-like induration de-velops, the center being comparatively free. It may occur uponthe internal surface of the prepuce or upon the body of thepenis, 72 SYPHILIS Infecting balanitis begins as an erosion in the mucous layer ofthe prepuce and spreads peripherally until the whole prepuce isinvolved in a hyperplastic process. The prepuce is thickened,usually of a dull red color, and has a velvety excoriated appearance. Chancres
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . found upon the body of the penis. An annular chancre is one in which a ring-like induration de-velops, the center being comparatively free. It may occur uponthe internal surface of the prepuce or upon the body of thepenis, 72 SYPHILIS Infecting balanitis begins as an erosion in the mucous layer ofthe prepuce and spreads peripherally until the whole prepuce isinvolved in a hyperplastic process. The prepuce is thickened,usually of a dull red color, and has a velvety excoriated appearance. Chancres in the Male.—In the male the chancre is usually lo-cated in the coronary sulcus, especially near the frenum, but mayoccur upon the glans, the prepuce, the body of the penis, or evenin the urethra. In the latter case a diagnosis of gonorrhea isapt to be made and the true condition overlooked, especially asa Neisser infection so frequently accompanies such a rule there is but little induration, this can not be detectedfrom the outside, and there is little disturbance to the flow of. Fig. 8.—Chancres may be accompanied by considerable edema. (Collection of Drs. For- dycc and MacKee.) urine. In these cases endoscopic examination is always neces-sary in order to make an early diagnosis. Chancres in the Female.—In the female Fournier reports thefollowing distribution of chancres: Cases Greater lips, 114 Lesser lips, 55 Fourchette, 38 Cervix, 13 Introitus vaginae, 9 Urinary meatus, 17 Superior vulvar commissure. 2 Vagina, 1 THE PRIMARY STAGE 73 Occasionally chancre of the greater lips is complicated by amarked edema of the entire labia. Chancres of the cervix areusually discovered accidentally, inasmuch as they usually giverise to no symptoms. It is also possible that the body of theuterus may be the site of chancres, although such cases are verydifficult to demonstrate. Special Types of Chancres.—One point in connection withgenital chancres that can not be too str
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
