A manual of syphilis and the venereal diseases, . e breaking down of gummatous infiltrations wherebythe nasal and oral cavities are converted into one gapingchasm, as in the severe grades of epithelioma. A largeportion of the pinna of one ear may slough. The bonesof the face, skull, and jaws frequently suffer, and ectro-pion, flattening of the nasal bridge, and extensive mutila-tion of the lips and the ears may ensue. Not the least conspicuous among the distinctive feat-ures of these severe ravages of syphilis is the extraordi-nary extent to which, when properly treated, repairensues. When the
A manual of syphilis and the venereal diseases, . e breaking down of gummatous infiltrations wherebythe nasal and oral cavities are converted into one gapingchasm, as in the severe grades of epithelioma. A largeportion of the pinna of one ear may slough. The bonesof the face, skull, and jaws frequently suffer, and ectro-pion, flattening of the nasal bridge, and extensive mutila-tion of the lips and the ears may ensue. Not the least conspicuous among the distinctive feat-ures of these severe ravages of syphilis is the extraordi-nary extent to which, when properly treated, repairensues. When the general cachectic condition (evidentin almost all this class of patients) yields to proper hy-gienic and medicinal treatment, cicatrization follows after SYPHILIS OF THE SKIN. 121 even the most extensive and mutilating damage; thedeformity is slowly smoothed away so as to escape rec-ognition save by the experienced eye, and the patientmay enjoy a future life without return of the old this way an obturator enables one man to close the. Fig. 7.—Cicatrices resulting from extensive gummatous infiltration of the face. gap between the mouth and the nasal cavity; another,who has an opening connecting the oesophagus and thelarynx, can in certain postures and by the aid of specialdevices swallow food without its access to the respiratorytract; and even the most disfiguring scars of the face are 122 SYPHILIS AND THE VENEREAL DISEASES. slowly freed from pigment and diminished in circum-ference and irregularity until a degree of sightliness isproduced (Fig. f). It should not be forgotten, espe-cially in relatively young patients, that even with theworst accidents the recovery, under anything like fairtreatment, will surpass the hopes of the most is in this respect that syphilis draws a sharp andsignificant distinction between itself and all other dis-eases productive of destructive effects—a distinction ofthe highest value with respect to diagnosis. Diagnosis.
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