A manual of syphilis and the venereal diseases, . Tuberculo-gummatous infiltration of the skin with ulceration (Mracek). Lith. Anst E ReichholcL Munci SYPHILIS OF THE SKIN. II9 elevations of the skin, but later, when degeneration isthreatened, the integument over each nodule becomespurplish, livid, boggy, and thinned to a point wherebursting of the contents of the gumma occurs throughits connective-tissue envelope. Its name is derived fromthe gummy character of the product evacuated whenbursting of the neoplasm ensues. When freely formingupon a level surface, gummata are usually globoid incont


A manual of syphilis and the venereal diseases, . Tuberculo-gummatous infiltration of the skin with ulceration (Mracek). Lith. Anst E ReichholcL Munci SYPHILIS OF THE SKIN. II9 elevations of the skin, but later, when degeneration isthreatened, the integument over each nodule becomespurplish, livid, boggy, and thinned to a point wherebursting of the contents of the gumma occurs throughits connective-tissue envelope. Its name is derived fromthe gummy character of the product evacuated whenbursting of the neoplasm ensues. When freely formingupon a level surface, gummata are usually globoid incontour, but they may be instead irregularly shapedand even flattened. They are rarely very numerous inone subject at a given time, many patients never exhibit-ing more than one, or at the most two or three, typicalgummata (Fig. 6); in rare instances hundreds form atone time in the same person. Gummata are usually counted as late syphiliticlesions, but they may develop within a few months afterinfection. As a rule, however, from two to five years or


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