File:A treatise on gonorrhoea and syphilis (1864) (14596906708).jpg

Identifier: 64560900R.nlm.nih.gov
Title: A treatise on gonorrhoea and syphilis
Year: 1864 (1860s)
Authors: Durkee, Silas Parry, John S., 1843-1876, former owner. DNLM
Subjects: Gonorrhea Syphilis
Publisher: Philadelphia : Lindsay and Blakiston
Contributing Library: U.S. National Library of Medicine
Digitizing Sponsor: Open Knowledge Commons, U.S. National Library of Medicine

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the epidermis which covers them;and they leave behind them, for a very long period, stains of abrown coppery color, or the hue of the brown faded leaf, asthe remembrancer of their former site. Sometimes syphiliticpapules spring up in great abundance upon the forehead,usually in clusters of ten or twenty; at other times they arequite isolated. When thus developed, they bear a close resem-blance to acne indurata, and have been honored with the digni-fied sobriquet of corona veneris. They create no constitutionaldisturbance, unless they burst forth suddenly as an acute affec-tion, which is not often the fact. When they do thus appear,however, the febrile condition is well pronounced. There isincreased temperature of the surface, which is very rough, andin an unperspirable state; the pulse is accelerated, and thetongue parched and coated. But the moment the papulardevelopment is complete, the constitutional struggle subsides,and the economy seems to be relieved, or entirely at rest. (310)
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Syphilitic Lie PAPULAR ERUPTIONS. 311 The chronic variety is extremely prone to make successiveinvasions. From the time one crop of papules has been sub-dued, not many months will elapse before another will be verylikely to show itself, unless the treatment has been followed upwithout interruption or abatement for several weeks after theskin has been restored to a normal condition. In regard to theobstinacy of the attacks, something depends upon the periodthat has intervened between the primary affection and the con-stitutional symptoms. If the former have been recently cured,the eruption will prove less intractable than in those caseswhere a long interval has passed between the primary andconsecutive disease. The treatment pursued, the state of thesystem, and the habits of the patient, are likewise so many con-tingent circumstances which will more or less influence thepersistence of the eruption ; so that nothing very definite canbe predicated on this point. In passing the linger ove

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