Visceral syphilis / by John M. Swan, M.D., M.D., Philadelphia.

  • Swan, John M. (John Mumford), 1870-1949
Date:
1904
Catalogue details

Licence: In copyright

Credit: Visceral syphilis / by John M. Swan, M.D., M.D., Philadelphia. Source: Wellcome Collection.

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    by palpation. A history of syphilitic infec¬ tion and the existence of syphilitic lesions in other organs will aid the diagnosis. Gumma of the liver may exist without pro¬ ducing symptoms, but occasionally a superficial gumma may be mistaken for carcinoma of the liver, or a deep gumma may, by its growth, so isolate a portion of the liver substance that a resemblance to malignant disease is produced. Marcuse and Quincke and Hoppe-Seyler claim that the coexistence of splenic enlargement and albuminuria point to gumma; the first writer maintaining that these signs are never found in cases of carcinoma. The patient with syphilitic disease of the liver often has periods of retrogression of symptoms during which he feels comparatively well; but soon the symp¬ toms reappear in force. Such a history is very suggestive of syphilis of the liver. In this, as in the other conditions already referred to, the history of infection with syphilis and the exist¬ ence of syphilitic lesions in other organs aid in the diagnosis. REFERENCES. 1. J. H. Musser: Trans. Ass. Amer. Phy., 1894. 2. Proc. Path. Soc. Phila. 3. Aufrecht: Nothnagel’s Practice, American edi¬ tion; Diseases of the Bronchi, Pleura, and Lungs, p. 643. 4. Alfred Stengel: Untv. Pa. Med. Bull., May, 1903. 5. William Osier: Text-Book of Medicine, 3d edi¬ tion, p. 247. 6. Georges Carlier: These Paris, 1882, No. 27.
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