A handbook on the diagnosis of skin diseases / by Robert Liveing.

Date:
1878
Catalogue details

Licence: Public Domain Mark

Credit: A handbook on the diagnosis of skin diseases / by Robert Liveing. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    We must be very careful, however, in dravdng conclusions with regard to a single scar found on the face or shin. The foregoing remarks apply more or less to dermato- syphilis generally. It will now be necessary to enumerate in detail the principal forms assumed by syphilitic eruptions, and also to point out briefly the peculiarities that distinguish each variety. The common 7'ecent secondary eruptions are the follow- ing : (1) Roseola, or rose rash. (2) Maculae. (3) Papular eruptions (sypMitic lichen, so called). (4) Mucous tu- bercles and patches. We also meet with alopecia, pustules and ulcers, but these latter are less common on the skin as recent secondary forms, and usually occur only in severe cases. There is no well-defined line of demarcation between tbe recent and the remote secondary eruptions, of which latter the following are the most common: (5) Pustules, particularly ecthymatous and acne-form. (6) Seborrhoea and alopecia. (7) Squamous patches. (8) Tubercles. (9) Ulcers. (10) Rupia. (11) Onychia. Congenital syphilides correspond very closely with secondary eruptions, but coppery blotches and mucous tubercles are the prevailing forms. Bullae, though rare, are more common in congenital syphilis than in the acquired disease. 1. Eose rash or roseola syphilitica, when it first appears, may be very easily mistaken for other red rashes if we trust alone to its appearance, which is often identical with simple erythema. It is in this form of the disease that the history of a primary sore and other symptoms are of the greatest value for the pm-poses of differential diagnosis. Syphilitic roseola always/o/Zot^s closely on the primary disease (inocu- lation), indeed it often develops before that has disappeared. It is frequently accompanied by the characteristic sore- throat and other well-known symptoms, and at the outset of the eruption tbese general sjTnptoms are our chief means of diagnosis. A little later on when pigmentation occurs,