An essay on the comparative merits of artificial and natural classification, as applied to diseases of the skin ... / [John Paget].

  • John Paget
Date:
1833
Catalogue details

Licence: Public Domain Mark

Credit: An essay on the comparative merits of artificial and natural classification, as applied to diseases of the skin ... / [John Paget]. Source: Wellcome Collection.

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    Group VII—Aisciirodes. A group of exceedingly contagious diseases, frequently propa¬ gated by sexual intercourse, attacking by preference the face, head, and organs of generation. The cutaneous eruption is often pre¬ ceded by a slight febrile attack. These diseases are slow in their progress, and are liable to affect secondarily almost every tissue in the body, especially the osseous. It seems probable, though it is not yet sufficiently well established to warrant us in consider¬ ing it as a character of the group, that mercury possesses an almost specific power in all these affections. Genus I. Syphilis. A contagious disease, more or less rapid¬ ly contracted by impure contact, generally characterized external¬ ly by spots of a coppery-colour, by pustules, vegetations, excres¬ cences, ulcerations, swellings, tumours, and imposthumes ; inter¬ nally by caries and deeply seated pains in the bones. Species. 1. S. pustulans ; 2. S. vegetans; 3. S. exulcerans. —These three species include an immense number of varieties, some of which appear to us to possess sufficient importance to form separate species. The first, or Syphilis pustulans, contains twelve ; we shall only give the names, as they are generally so well select¬ ed as to express with sufficient clearness the nature of the affection. 1. Squamosa ; 2. Crustacea ; 3. Pemphigoides; 4. Fenticularis ; 5. Racerniformis; 6. Cerasiformis; 7- Miliaris; 8. Urticata; 9. Ser- piginosa ; 10. Scabioides ; \\. Varioloides ; 12. Tuberculosa. The second species, Syphilis vegetans, contains six varieties ; 1. Framhcesia ; 2. Cauliflora ; 3* Crista- Galii ; 4, Porriformis ; 5. Verrucosa; 6. Condyloma. The third species. Syphilis exulcerans, has only three varieties; 1. Serpiginosa ; 2. Excavata ; 3. Fissata. Genus II. Mycosis. A contagious disease, characterized by fungous excrescences, which manifest themselves principally on the face, hairy scalp, and about the organs of generation. These ex¬ crescences, in form resembling the fruit of the mulberry or straw¬ berry, give out a yellow, fetid, and viscous tumour ; they occa¬ sionally form tumours of considerable size; sometimes they are attended by coryza, hoarseness, ulceration of the tonsils, pains of the bones, &c. &c. Species. J. M. frambesioides, (Framhcesia, Willan ;) 2. M. fungoides, (Molluscum, Willan, Verole of Amboyna, Pian, Pockcn, &c. &c. ;) 3. M. Syphiloides, (le Malde Fiume, Scherlievo, Sibbens, of Scotland, Fungine of Ireland, &c. &c.) There can be little doubt that there exists a certain analogy be¬ tween syphilis and mycosis, which has been described under as many different names as the situation in which it has been observed ; but how far this extends, future and more accurate observations must disclose. From the relative situation in which M. Alibert has placed these diseases, it will be much more easy to appreciate the affinities and relations by which they are allied to other affections.
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