File:A manual of syphilis and the venereal diseases, (1900) (14780151014).jpg

Identifier: manualofsyphili00hyde (find matches)
Title: A manual of syphilis and the venereal diseases,
Year: 1900 (1900s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862-1908
Subjects: Syphilis Sexually Transmitted Diseases
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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s, fissures result; these fissures make inef-fectual attempts at healing, forming a new and tenderepidermis which floors over the crack in the skin, onlyin turn to give way and be supplanted by succeedingfissures and new formations of epidermis until a palmaror plantar ulcer or an ulcerated fissure is excavated, bor-dered by successive plateaux of newer or older skin, theouter edge being represented by large, partly-detached,and ragged flakes of epidermis whose angular indenta-tions or scallops roughly resemble the fracture of a paneof glass by a missile projected through its substance.Deeply ulcerated and exquisitely painful lesions of thisclass are more often palmar than plantar, by reason ofthe use of the hands in labor; but the feet of those whotoil in sewer-digging, road-making, etc. suffer to asimilar extent. In certain patients, early or late in the course of thedisease—usually the former—the palmar syphiloderm isdeclared in the form of numerous split-pea-sized and Plate 6.
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