Condyloma, a primary form of venereal disease identical with sibbens / [David Skae].

  • Skae, David, 1814-1873.
Date:
[1844]
Catalogue details

Licence: Public Domain Mark

Credit: Condyloma, a primary form of venereal disease identical with sibbens / [David Skae]. Source: Wellcome Collection.

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    others were complicated with a leucorrhoeal discharge, as we ascertained by the use of the speculum. Of the whole cases, 20 were accompanied with gonorrhoeal or leucorrhoeal discharges from the vagina. Of the remaining 16, five presented ulcers seated on the surface of the condylomata, of which one or two were suspected, from the result of the inoculation, the pustule being destroyed with caustic on its appearance, to be syphilitic. The remaining 11 presented neither gonorrhoeal nor leucorrhoeal discharges, nor ulcers, but were simple cases of condyloma. Of these 11, three were un¬ doubtedly first affections, the girls not having had any previous venereal complaint. In five of them at least, I ascertained with as much certainty as the evidence of such patients admits of, that the disease commenced with the formation of the condylo- matous patches or tubercles, and was not preceded by any sores or discharge, either mucous or purulent. In 16 out of the 36, the throat is stated in the journal to have presented the characteristic appearance ; but in nearly all the remaining cases the lips, mouth, or tongue, presented the condylomatous patches. These were most frequently seated in the angle formed by the commissure of the lips, occasionally on the inner surface of the lip or cheek. Those seated in the angles of the mouth appeared slightly excavated, and would in all probability have been described as ulcers by most observers, but they all presented the characteristic white or milk-like coating on the surface. One patient was affected with iritis during the progress of the cure ; two with inflammation of the lymphatic glands in the groin. Besides the cases referred to where the eruption de¬ scribed by Dr Wallace was present, one was affected with clustered lichen, one with rupia, and one with psoriasis venerea. In 23 of the cases the duration of the disease, previous to ad- mission into the hospital, was ascertained, and was as follows:— Duration. Cases. Duration. Cases. 2 weeks in 3 2 months in 7 3 3 3 ... 2 4 • • • 4 4 1 6 4 5 ... 2, and in one case eight months. The longer duration of the disease, previous to admission, did not apparently, cceteris paribus, render the cases materially worse than many which were of shorter duration, nor make the