Syphilitic eruptions of the skin, or, The syphilo-dermata : containing a contrasted parallel of the stages and symptoms of acquired and inherited syphilis / by James Startin.

  • Startin, James, 1851-1910.
Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Syphilitic eruptions of the skin, or, The syphilo-dermata : containing a contrasted parallel of the stages and symptoms of acquired and inherited syphilis / by James Startin. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the base of the ncail, followed by suppuration and ulceration of the matrix, and loss of the nail; in addition to this the subungual groove is invaded by mucous patches, fi-om which oozes a peculiar whitish or brownish matter.* ■ It is also described as follows:—A semilunar furrow is seen extending across the nail near the root, the outer- most layer is destroyed almost over its entire lanula, a ragged border overhanghig that part, is presented by the distal portion, and as the nail grows, the diseased portion is pushed further and further on. The nails seem brittle and fissured in texture, and spht and broken at the ends, and dotted over with small specks or indentations. We may also have a spontaneous ulceration of the secreting organ of the nails of either the hands or feet, a distressing and painful affection round the root and under the extremity of the nail. It presents a moist fungating appearance, easily bleeds, and a foetid, ichorous discharge issues from it. The extremity of the nail becomes detached, which detachment extends insensibly to its base, and is followed by ulceration of its new sm-face, the nail becoming reduced to a few homy shreds. These various lesions of the nails, form part of the secondary symptoms, and co-exist generally with secondary symptoms. It is rarely that the secondary syphilis exists long in a system, without the nails becoming affected ; recovery is the usual termination. The prognosis therefore is favourable in these affections. Ingrowing toenail may be mistaken for this disease, but the ulceration in this disease is of short and limited duration, and does not begin first on the matrix. It may also be confoimdcd with phyteform degeneration of the nails, but this disease * Eayor. Traites des Maladies do la Pcau. Pathological Society's Transactions.—Hutcbinson.