. Diseases of the mouth; for physicians, dentists, medical and dental students . d Condylomata Lata of theNaso-Labiai Folds On the vermilion of the lower lip is a small redspot beginning to erode at the centre. Behind it, onthe mucous membrane of the lip, is a small erodedpapule covered with a layer of yellowish is absolutely characteristic of syphilis. Theyellow erosion resembles greatly an aphthous ulcer ofthe mouth, but there is no pain or surrounding in-flammatory reaction. The diagnosis of these papules(mucous patches), when they are the only manifes-tations in a relapsing
. Diseases of the mouth; for physicians, dentists, medical and dental students . d Condylomata Lata of theNaso-Labiai Folds On the vermilion of the lower lip is a small redspot beginning to erode at the centre. Behind it, onthe mucous membrane of the lip, is a small erodedpapule covered with a layer of yellowish is absolutely characteristic of syphilis. Theyellow erosion resembles greatly an aphthous ulcer ofthe mouth, but there is no pain or surrounding in-flammatory reaction. The diagnosis of these papules(mucous patches), when they are the only manifes-tations in a relapsing syphilis, is most important, asthe patient often does not know he has them. Thetreponema pallidum was easily found in them. In this case, however, other manifestations showedthemselves, , condylomata lata in the naso-labialfolds, which are well developed, ulcerated, and en-crusted. A slight congestion and insignificant infil-tration of the skin in this region is suspicious, but itis not to be forgotten that a similar infiltrate mayoccur with seborrhoea. 86 Plate V. Fig. 5. PLATE VI Figure 6.—Erosive IVIucous Patclies of tiieUpper Lip and Tongue Figure 6.—Erosive Mucous Patches of theUpper Lip and Tongue A slightly elevated eroded mucous patch was seenupon the right side of the vipper lip and on the tipof the tongue. Accompanying them was a roseola,syphilitic angina, impetigo capitis, and condylomatalata about the genitals. Spirocheetfe were found inthem and the Wassermann reaction was positive. Alone, these lesions are not characteristic of syphi-lis, and might be mistaken for a superficial burn, cor-rosion, or bite. 90 Plate VI. Fig. 6
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Keywords: ., bookcentury1900, bookdecade191, booksubjectsyphilis, bookyear1912
