Volume 4

Photographic atlas of the diseases of the skin : a series of ninety-six plates, comprising nearly two hundred illustrations, with desriptive text, and a treatise on cutaneous therapeutics / by George Henry Fox.

  • Fox, George Henry, 1846-1937.
Date:
[1905], ©1905
Catalogue details

Licence: Public Domain Mark

Credit: Photographic atlas of the diseases of the skin : a series of ninety-six plates, comprising nearly two hundred illustrations, with desriptive text, and a treatise on cutaneous therapeutics / by George Henry Fox. Source: Wellcome Collection.

    114/176 (page 276)
    The no ular or tubercular syphilide is one of the later mani¬ festations of the disease. While in rare instances it may occur during the first year after infection, it is commonly met with many years later. The tubercles or nodular lesions in this form of syphilis are not necessarily larger than the papules of the early syphilide, as the name might imply, but they are always arranged in groups and are unsymmetrical, while the lesions of the early syphilides (macular, papular and pustular), whether few or many, are invariably dissemi¬ nated, and one side of the body is almost a duplicate of the other. The accompanying plate represents a tubercular syphilide of the serpiginous or creeping variety. It is evident at a glance that the most recent lesions have developed at the periphery of the patch and enclose an area from which earlier lesions have disappeared leaving more or less discoloration of the skin. Even the peripheral lesions appear to have become flattened and scaly and are evidently disappearing, as they frequently do, even without treatment. Such an eruption leaves no scars, but when nodules soften and ulcerate, small, smooth, whitish cicatrices remain as a permanent record. This patient gave no history of syphilitic infection, but with such a characteristic eruption the diagnosis was unmistakable.