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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    they require—the logical inference is, they are produced by dif- ferent causes. Diday thus forcibly puts this argument, exclaiming — Gentlemen, when I see— Upon one side, An indurated ulcer, with an incubation of two or three weeks; with adhesive inflammation; not inoculable upon the person bearing it; not capable of being destroyed by treatment; exclusively affecting mankind; constantly accompanied by an indo- lent enlargement of the glands ; producing always, after a fixed term, a series of general characteristic symptoms; perceptible of the curative influence of certain general specific reme- dies; aff'ecting only once the same indi- vidual in the same manner. And upon the other hand, A soft ulcer; without any incubation; accompanied by suppurative in- flammation ; reinoculable indefinitely upon the person bearing it; when completely destroyed by treat- ment, entirely checked; transmissible to several kinds of animals; not constantly followed by an af- fection of the glands, but when followed, producing suppuration. its action always confined to local effects; not at all affected by specific re- medies ; reproducing itself wth the same in- tensity upon an individul when- ever he is inoculated with it; My reason—my simple common sense—refuses to believe that the two are produced by the same morbid principle.* The objections urged by the unicists against this conclusion are numerous. In the first place, it is asserted that soft chancres are followed by secondary syphilis; and cases are related in which, un- doubtedly, true syphilitic symptoms followed a sore which presented no distinct induration, or, it may be, no induration at all. But, as Laucerceaux says,* in reply, this only proves that induration is not an invariable characteristic of the syphilitic sore. I have satisfied myself, from my own observations, that induration may be absent, * Histoire Naturelle de la Syphilis, p. 9. I Tratte Ilistoriciue et Pratique de la Syphilis, p. 97. .