. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . described by Taylor and is veryrare. It usually occurs on the glands or the lips of the meatus,and at first looks as if a pinhead-sized spot had been touchedwith carbolic acid or nitrate of silver. Induration slowly de-velops and an erosion later appears. The dry papule is usually found upon the glands or the pre-puce where this is not in contact with another surface, but mayalso occur upon the body of the penis or upon the skin or mu-cous membranes of the body. This type of initial sclerosis isu
. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . described by Taylor and is veryrare. It usually occurs on the glands or the lips of the meatus,and at first looks as if a pinhead-sized spot had been touchedwith carbolic acid or nitrate of silver. Induration slowly de-velops and an erosion later appears. The dry papule is usually found upon the glands or the pre-puce where this is not in contact with another surface, but mayalso occur upon the body of the penis or upon the skin or mu-cous membranes of the body. This type of initial sclerosis isusually but little indurated, involves the superficial tissues, isdry and gives out no secretion. The umbilicated papule or follicular chancre begins as a pink- THE PRIMARY STAGE 71 ish elevation about the size of a milium with a minute depressionin the center and resembles a lesion of molluscvim contagiosumor an infected sebaceous gland. Later it becomes much moretypical. The purple necrotic nodule is rare. It occurs upon the glansor in the coronary sulcus, beginning as a small red spot which. Fig. 7.—Chancres of the coronal sulcus with an indurated edge are absolutely typicaj; thereis no other lesion that resembles them. (Collection of Drs. Fordyce and MacKee.) gradually becomes purplish in color. This form of chancre isprone to necrotic degeneration, inasmuch as it is due to an ob-structed blood supply. The ecthymatous chancre is simply one that is covered by apus crust, and may develop from any type, although it is usuallyfound upon the body of the penis. An annular chancre is one in which a ring-like induration de-velops, the center being comparatively free. It may occur uponthe internal surface of the prepuce or upon the body of thepenis, 72 SYPHILIS Infecting balanitis begins as an erosion in the mucous layer ofthe prepuce and spreads peripherally until the whole prepuce isinvolved in a hyperplastic process. The prepuce is thickened,usually of a dull red color, and has
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192
