. Diseases of the mouth; for physicians, dentists, medical and dental students . rom the ulcer, is actively con-gested, oedematous, and swollen. To the left of thelarge ulcer is a small one having a sharp border andtending to unite with the large one. The patient, awoman fifty-one years old, had eight to ten weekspreviously a chancre of the lower lip with a submaxil-lary adenitis. At the time when the idceration of thefauces occurred there were no skin manifestations, butthere was a periosteal gumma of the right tibia. TheWasserviann reaction was positive. The ulcer had much the appearance of
. Diseases of the mouth; for physicians, dentists, medical and dental students . rom the ulcer, is actively con-gested, oedematous, and swollen. To the left of thelarge ulcer is a small one having a sharp border andtending to unite with the large one. The patient, awoman fifty-one years old, had eight to ten weekspreviously a chancre of the lower lip with a submaxil-lary adenitis. At the time when the idceration of thefauces occurred there were no skin manifestations, butthere was a periosteal gumma of the right tibia. TheWasserviann reaction was positive. The ulcer had much the appearance of a gummarapidly undergoing necrosis, which, in conjunctionwith the presence of the periosteal gumma of the tibiaand its occurrence in the first weeks after infection, isespecially characteristic of malignant syphilis. Theage of the patient may be looked upon as predispos-ing to the malignant course of the disease. Localtreatment of the ulcers with bichloride of mercury inglycerine (2%) and inunctions of mercury caused arapid disappearance of the lesions. 152 Plate XXI. Fig. 24. PLATE XXII Figure 25.—Malignant Syphilis of theFauces Figure 25.—Malignant Sypliilis of theFauces The entire soft palate, the uvula and anterior andposterior pillars of the fauces have been destroyed bya syphilitic ulcer. On the edge of the lesion is alarge ulcer, with precipitous walls surrounded by anot very extensive bright red border. The floor ofthe ulcer is covered with a strikingly yellow adherentmembrane, but there is no cedeniatous swelling. Onthe posterior pharpigeal wall similar ulcers can beseen. The destructive process has probably been goingon for several weeks, but the patient coidd make nodefinite statement regarding his condition. Syphilis had been acquired about six monthspreviously. Inunctions had been given for four orfive weeks without much result, when a macular erup-tion and the ulcerated angina appeared. Underpotassium iodide and biniodide of mercury improve-ment took place. So
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Keywords: ., bookcentury1900, bookdecade191, booksubjectsyphilis, bookyear1912
