. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 49.—In papulopustular syphilis there may be creamy pus. early. They are filled with creamy pus. These syphilides mustbe differentiated from chicken pox and from a dermatitis vene-nata. In the former the lesions are distinctly vesicular andrupture early, and in the early stages there is often a wide EARLY CUTANEOUS LESIONS 121 inflammatory areola. Other signs of syphilis are lacking, andthere are usually more lesions upon the face. Dermatitis vene-nata does not have the symmetrical distributi
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 49.—In papulopustular syphilis there may be creamy pus. early. They are filled with creamy pus. These syphilides mustbe differentiated from chicken pox and from a dermatitis vene-nata. In the former the lesions are distinctly vesicular andrupture early, and in the early stages there is often a wide EARLY CUTANEOUS LESIONS 121 inflammatory areola. Other signs of syphilis are lacking, andthere are usually more lesions upon the face. Dermatitis vene-nata does not have the symmetrical distribution of syphilis andthere is more itching and burning. The deeper lesions are more widely disseminated, the face. Fig. SO.—The pustular syphilides may be extremely superficial. being a favorite site for them. In addition the flanks and thighsare usually markedly affected. In almost all instances there isa varying admixture of papules. These lesions usually healrather slowly under treatment, and are apt to leave deeply pig-mented spots upon the skin, and at times true scars may result. 122 SYPHILIS They must be differentiated from smallpox and from a drugrash and occasionally from acne vulgaris. Smallpox usuallycomes on abruptly with fever, backache, headache, vomiting andthe history of some antecedent chilliness. The lesions are mostnumerous upon the face and hands, and there are almost alwaysa few lesions in the palms. They usually occur in the unvac-cinated. The course of variola is different, inasmuch as thelesions pass through a certain definite course, papule, vesicle,then pustule, and the vesicle stage usually lacks in syphilis. The
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
