. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 76.—Palmar lesions may closely resemble eczema; in this instance there was somecharacteristic ulceration near the Fig. n.—In either palmar or plantar syphilides there may be small hard white spots, the syphilis cornee. sions is essential to make a correct diagnosis. Fortunately theseare practically always in evidence, for psoriasis does not occurin these locations alone. Eczema is almost ahvays bilateral, andusually itches, especially after washing, but it should be remem-bered that
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 76.—Palmar lesions may closely resemble eczema; in this instance there was somecharacteristic ulceration near the Fig. n.—In either palmar or plantar syphilides there may be small hard white spots, the syphilis cornee. sions is essential to make a correct diagnosis. Fortunately theseare practically always in evidence, for psoriasis does not occurin these locations alone. Eczema is almost ahvays bilateral, andusually itches, especially after washing, but it should be remem-bered that a syphilitic lesion may become eczematous. Hence it 148 SYPHILIS is often necessary to resort to the laboratory tests unless otherevidences of syphilis are present. The pathology of the disease does not differ materially fromthat of the other late cutaneous manifestations. Bibliography iFox: Dis., 1913, xxxi, : Jour. Am. Med. Assn., 1907, xlix, 462. The following recent article is of interest:Howard Fox: Palmar Syphilides, Am. Jour. SjqDli., 1917, i, 422. CHAPTER VIII CUTANEOUS COMPLICATIONS The cutaneous complications of syphilis .may be divided intodyschromias, atrophies, scars and keloids
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