A manual of syphilis and the venereal diseases, . s, fissures result; these fissures make inef-fectual attempts at healing, forming a new and tenderepidermis which floors over the crack in the skin, onlyin turn to give way and be supplanted by succeedingfissures and new formations of epidermis until a palmaror plantar ulcer or an ulcerated fissure is excavated, bor-dered by successive plateaux of newer or older skin, theouter edge being represented by large, partly-detached,and ragged flakes of epidermis whose angular indenta-tions or scallops roughly resemble the fracture of a paneof glass by
A manual of syphilis and the venereal diseases, . s, fissures result; these fissures make inef-fectual attempts at healing, forming a new and tenderepidermis which floors over the crack in the skin, onlyin turn to give way and be supplanted by succeedingfissures and new formations of epidermis until a palmaror plantar ulcer or an ulcerated fissure is excavated, bor-dered by successive plateaux of newer or older skin, theouter edge being represented by large, partly-detached,and ragged flakes of epidermis whose angular indenta-tions or scallops roughly resemble the fracture of a paneof glass by a missile projected through its ulcerated and exquisitely painful lesions of thisclass are more often palmar than plantar, by reason ofthe use of the hands in labor; but the feet of those whotoil in sewer-digging, road-making, etc. suffer to asimilar extent. In certain patients, early or late in the course of thedisease—usually the former—the palmar syphiloderm isdeclared in the form of numerous split-pea-sized and Plate \ # # #
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Keywords: ., bookcentury1900, bookdecade1900, booksubject, booksubjectsyphilis
