Licence: Public Domain Mark
Credit: Outlines of human pathology / by Herbert Mayo. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![tions and viscid ash-coloured secretion. A probe pressed against the surface breaks through the soft and gritty texture of the caries. Syphilitic caries is often attended with partial necrosis and exfoliation, [d. 69.] If left to pursue its ravages un- checked, the entire thickness of the bone attacked is gra- dually involved in it. The coexistence of ulcerated fauces, and squamous erup- tion or other diseases of the skin, generally leaves no doubt as to the nature of the caries. Sometimes, however, the caries, such as I have described it, exists alone. 3. Strumous caries, in many cases, bears a close resem- blance to syphilitic caries: in other instances it is difficult to draw the hne between it and simple caries. In a third class of cases, certain peculiar and characteristic features are strongly marked. A young lady, whom I have attended, has suffered from inflammation of the periosteum of the tibiae in oval patches resembling nodes. Matter has slowly formed, and the bone has been exposed in a carious state j small exfoliations have then taken place, and the wounds have healed. Three swell- ings of this description have formed in succession. Her ap- pearance gives evidence of the strumous diathesis. A gentleman thirty-seven years of age, in whom the strumous habit is clearly marked, consulted me for caries of the palate. The alveoli of the upper jaw were likewise carious. He was liable to inflammation of the tonsils, at- tended with ulcers. The complaint, however, was not of syphilitic origin. The sister of this gentleman has had caries and partial necrosis of the turbinated bones. A young man, twenty-five years of age, became my pa- tient for caries of the head and face. A small exfoliation had taken place from the os malse of the left side, and from the right superciliary ridge. The integuments of the right side of the forehead were swollen, puffy, and tender : there was discharge from the nose, and part of one turbinated bone was necrosed. No ground existed for supposing that the disease was of syphilitic origin. There is not, that I am acquainted with, any essential](https://iiif.wellcomecollection.org/image/b21066735_0077.jp2/full/800%2C/0/default.jpg)
