File:A manual of syphilis and the venereal diseases, (1900) (14780161624).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

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
rvous or other structures with whichit is in relation. Changes in the Tissues Surrounding the Nail, withor without Consecutive Lesions of the Latter (Par-onychia syphilitica).—In the more superficial variety ofthis disorder the epidermis and often the deeper portionsof the skin in a circumscribed patch, usually at one ex-tremity of the nail-groove, thicken and assume a wartyaspect. This local thickening may be resolved in suc-cessive exfoliations with some resulting tenderness, orthere may be superficial excoriations, fissures, or evenresulting ulcers. One or several digits may be involved,the fingers more often than the toes, on account of theexposure of the former in the occupations of life. Some-times the integument of one or several joints of the digitis implicated in the process. This complication occurswithin a few months after infection, or it may be delayedto one or two years after—rarely the latter. It is mostoften contemporaneous with maculo-papular and papulo- Plate 15.
Text Appearing After Image:
SYPHILITIC AFFECTIONS OF THE NAIL. I 33 squamous lesions of other regions. The consecutivechanges in the nail, when such occur, are of the mildertypes elsewhere described. In a deeper form of involvement of the tissues aboutthe nail, a nodule, dull ham-tinted and tender, varyingin size from that of a pea to that of a bean, forms eitherin the nail-fold, the nail-groove, or the matrix, usuallyupon one side. Occasionally the more prominent skin-symptom is a deep and ill-defined infiltration. Thecracking and exfoliation seen in the superficial formmay be conspicuous in the deeper form of the disease,the infiltration undergoing in favorable cases completeresolution under appropriate treatment, though its courseis commonly indolent. In other cases ulceration ensues,the part becomes tender, at times exceedingly painful,and the pus which may be discharged gives no suchrelief as in the run-around, the course of which is muchmore brief. The affection persistently lingers when thetoes are involv

Note About Images