File:Tri-State medical journal and practitioner (1897) (14592034087).jpg

Identifier: tristatemedicalj4189unse (find matches)
Title: Tri-State medical journal and practitioner
Year: 1897 (1890s)
Authors:
Subjects: Medicine
Publisher: St. Louis : (s.n.)
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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of Face and Head. Advanced Stage. have been preceded by a greater or less thickening of the skin, evidence ofwhich may be seen in Figure 1, on and somewhat above the right buttock.It does not appear, however, that this is a necessary precursor of the ulcero-crustaceous syphilide in every case. ULCERO SYPHILIDE—OHMANN-DUMESNIL. 613 An example of the advanced stage of the trouble is shown in Figure 2.A comparison of this with Figure 1 will readily show the marked dif-ference which exists between the cases. A mere glance at the picture willreveal a face which shows plainly the marks of dissipation and want of care.The utter neglect of personal appearance is not only plain,but rather accent-uated, and the sullen appearance of the features speaks for itself and argues adisinclination to be cleanly and an utter disregard for all tidiness. * Theunkempt hair and disordered beard certainly speak strongly of the generallydemoralized condition of the individual. The bloated features and sodden
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Fig. 3. Ulcero-Crustaceous Syphilide of Face aud Arms. Destructive Stage. condition of the skin need no comment. They are but too strongly indic-ative of the past habits and life which they so graphically represent.The bad condition of the tissues is but too apparent in the appearancepresented by the lesions. It will be noted that these are irregular in formas well as in size. In the center of the forehead may be seen a large crustresting upon an ulcerated base, and to its left the remains of former lesionsof the same nature. Upon the scalp there exist numerous smaller ulcero-crustaceous lesions which vary in size; and some are in such close proximitythat but little time would be required for them to coalesce. Upon the nosemay be seen still smaller lesions of a similar nature. Upon the left tern- 614 Original Articles. pie and encroaching upon the uper eyelid quite a large, ragged ulcer exists,and about it may be seen a thickening of the integument. The skin overthe superciliary ridge

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