. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . J?ig. 4S.—In papular syphilis there is frequently heavy perivascular infiltration. for, as a rule these cases do not run a severe course in this race,although in the whites they may do so. Pustular Syphilides There are two clinical varieties of acuminate pustular syph-ilis, the very superficial and the more deeply situated. In bothinstances a papule is the original lesion. The former variety arecomparatively common in the negro, but very rare in the are usually situated upon the flanks


. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . J?ig. 4S.—In papular syphilis there is frequently heavy perivascular infiltration. for, as a rule these cases do not run a severe course in this race,although in the whites they may do so. Pustular Syphilides There are two clinical varieties of acuminate pustular syph-ilis, the very superficial and the more deeply situated. In bothinstances a papule is the original lesion. The former variety arecomparatively common in the negro, but very rare in the are usually situated upon the flanks and outer surfaces of 120 SYPHILIS the thighs, but may occur upon any portion of the cutaneous cov-ering. The individual lesions are discrete, superficial pustules,not over one-third of an inch, in diameter, and often roof of the pustule is thin, but the lesions do not rupture. 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


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192