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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ded by most physicians as pathogno-monic of inherited syphilis. The pharynx in hereditary syphilis may be the seat ofmucous patches, erythematous blotches, or circum-scribed or diffuse infiltration. In exceptional casesverrucous vegetations form on the membrane; thetonsils become voluminous; ulceration of a superficialor a deep character may involve the submucous tissue;or grave forms of stomatitis supervene, the membrane 214 SYPHILIS AND THE VENEREAL DISEASES. of the mouth exhibiting on exposure an ashen look.In patients of unusual debility hemorrhagic effusionsoccur. When the bones are attacked the hard palatemay be involved, and, especially in inherited diseasewhich has existed for some years, the oral and nasalcavities are fused by ulcerative and destructive processesinto a single formidable chasm. Often the anterior por-tion of the nares, the upper lip, and the hard palate infront are merged in a common ulcerative fossa. Thesedestructive results may originate in either one of the
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Fig. io.—Hutchinson teeth. two cavities, or in a grave gummatous involvement ofthe skin of the face followed by severe sloughing. The larynx, the trachea, and the bronchi may each bethe seat of changes in inherited syphilis—infiltrations,circumscribed or diffuse, of the mucous or submucoustissues, followed or not by ulceration which may destroythe perichondrium or the cartilages. Here, as from otherof the mucous surfaces affected in the disease, polypiformand verrucous excrescences may spring from the mem- HEREDITARY SYPHILIS. 215 brane, and when situated in the larynx or the tracheaproduce severe dyspnoea and disorders of phonation.The ulcers of this region differ but little from thoseexhibited in acquired disease, being single or multiple,and situated centrally or on one or both sides of thelarynx. The lesions of the trachea and the bronchi arerare and are of the same general character as those ofthe larynx. Attention has already been directed to the clinicalsymptoms dependent u

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