The pathology and treatment of syphilis, chancroid ulcers, and their complications / by John K. Barton.

  • Barton, John K. (John Kellock), 1829-1894.
Date:
1868
Catalogue details

Licence: Public Domain Mark

Credit: The pathology and treatment of syphilis, chancroid ulcers, and their complications / by John K. Barton. Source: Wellcome Collection.

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    and the complications which result from this again, become one of the most serious conditions with which the surgeon has to deal. The consideration of this subject in all its important bearings, is incompatible with the object of the present work. So we now pass on to the consideration of chancres, and their varieties. A chancre is a sore or ulcer produced by the inoculation of the secretion of some similar sore. Such a sore may be produced upon any part of the body, but much more readily upon some parts than upon others. The organs of generation being the parts exposed are most frequently affected. Chancres vary in their character and appearance according as they are situated upon the skin or mucous membrane; the health and habits of the patient also influence these sores; so that it has been customary to describe four or five different kinds of chancres. Erichsen gives the following four :—the simple or excoriated chancre, the indu- rated or Himterian, the phagedenic and the sloughing chancre. These, and many other varieties described by other authors, depend upon the appearance, amount of ulceration, or situation of the sore, and they indicate the degree and condition of the chancrous ulceration with which we have to deal—the destructive action of the latter kinds contrasting with the mild and readily-managed ulceration of the former. These local conditions yield, however, in importance to the inquiry—Ai-e all chancres followed by the constitutional disease which we know under the name, of Syphilis ? If so, is each followed by its own peculiar kind of syphilis ? It is evident that if these questions were satisfactorily settled, the primary sores or chancres should be classified according to the constitutional efiects which they produce. Carmichael was the first to perceive the importance of this inquiry. Observing great varieties in the severity and character of primary ulcers, Carmichael connected them with similar dif- ferences which are found to exist between difierent cases of consti- tutional sj^Dhilis, and contended that there were four distinct primary ulcers, followed by as many distinct kinds of syphilis. Each of these kinds of chancres he believed was produced by its