File:The ready reference handbook of diseases of the skin (1908) (14761192071).jpg

Identifier: readyreference00jack (find matches)
Title: The ready reference handbook of diseases of the skin
Year: 1908 (1900s)
Authors: Jackson, George Thomas, 1852- (from old catalog)
Subjects: Skin
Publisher: New York and Philadelphia, Lea & Febiger
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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rcular syphilide. (By the courtesy of Dr Hubbard.) years, lupus beiug a disease of youth; by its sharp-cutround ulcers by ; its thick greenish crusts, and by thesmoothness of its cicatrices, those of lupus being puckeredand deforming. Syphilis at times bears a striking re-semblance to leprosy when its tubercles are located in theeyebrows, face, and ears, but the absence of anaesthesia is apositive diagnostic sign against leprosy. Moreover, othersymptoms of leprosy, such as swelling of the ulnar nervesand peculiar brown patches, will be absent. SYPHILIS. 623 The squamous syphilide is not usually described, as itis a modified form of either the papular or the tubercularlesiou. Iu using the term here, I follow Dr. George H.Fox, and like him adopt it purely on clinical grounds.He applies the term to scaly patches of circular or irreg-ular form that occur after the first year of syphilis.These patches are covered with thin horny scales seatedupon an infiltrated base. We may have one of two
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The circinate squamous syphilide. (By the courtesy of Dr. S. DanaHubbard.) forms : the discoid or the circinate. The discoid form isalmost peculiar to the palms and soles and neighboringparts, and constitutes the only apparent lesion. Theround patch of varying size, but with a sharply definedreddish seam beyond the scaling, and an infiltrated base,tends to become serpiginous, creeping over a considerableportion of the skin. Sometimes while it advances at one 624 DISEASES OF THE SKIN. border it heals at the other ; at other times it clears up inthe centre, leaving an elevated, scaling marginal ring.The ring may be broken and leave a curved line, and iftwo or more of these lines meet, we have a gyrate figure.Usually but one palm or sole is involved. The skin isapt to crack in the natural creases, and then the patientwill suffer some pain and discomfort. It is always anobstinate lesion to cure, persisting sometimes for monthsor years. The eircinate form differs from the one justdescribed

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