Tri-State medical journal and practitioner . Fig. i. Disseminated Syphilitic Pigmentation. than from two to six finger-nail size stains may exist. In the disseminatedform we have a condition characterized by the presence of numerous stainswhich vary in size. A good example of this is shown in Figure 1. Alimb, a portion of the trunk, or the entire body, may be involved. In theconfluent syphilitic pigmentation we have a condition presented which is Syphilitic Pigmentation—Oh man n-Dumesnil. 363 far from being a common one. In this form a large area is involved, butit is the rule that certain por
Tri-State medical journal and practitioner . Fig. i. Disseminated Syphilitic Pigmentation. than from two to six finger-nail size stains may exist. In the disseminatedform we have a condition characterized by the presence of numerous stainswhich vary in size. A good example of this is shown in Figure 1. Alimb, a portion of the trunk, or the entire body, may be involved. In theconfluent syphilitic pigmentation we have a condition presented which is Syphilitic Pigmentation—Oh man n-Dumesnil. 363 far from being a common one. In this form a large area is involved, butit is the rule that certain portions of the skin remain normal. In fact,upon a Superficial glance it would lead an unpracticed eve to pronouncethe trouble one of vitiligo. The peculiarity of the contour of the healthy *. Fig. 2. Confluent Syphilitic Pigmentation. skin will readily dispel any such idea, and a careful examination willreadily show that, instead of a loss of pigment declaring itself, the color-ing matter is, in reality, encroaching upon the normal skin. A representa-tion of a case of this rather rare condition is shown in Figure 2, which 364 Original Articles. shows very plainly the difference in tint of the normal and of the pig-mented skin in a syphilitic whose complexion was quite dark. In thisform of the trouble care must be taken not to mistake it for other forms ofextensive pigmentation. Thus, for instance, we have so-called vaga-bonds disease, which is due to filth and parasites causing an intensepruritus, and the efforts to relieve this by scratching cause a black discol-oration of the skin by reason of the dirt on the surface and under the nailsbeing deposited under the upper layers of the skin. Again, we have anextensive pigmentation occurring in Addisons disease, and, although
Size: 977px × 2557px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1890, bookpublish, booksubjectmedicine
