The classification and nomenclature of acquired cutaneous syphilis / by George Henry Fox.

  • George Henry Fox
Date:
1913
Catalogue details

Licence: In copyright

Credit: The classification and nomenclature of acquired cutaneous syphilis / by George Henry Fox. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    a sanguinolent or purulent fluid does not constitute a true bulla, and even if we did have now and then a single bullous lesion, it certainly would not justify the oft-used term of bullous syphilide. In my “Photographic Illustrations of Cutaneous Syphilis,” published over thirty years ago, I included in the late forms, the pus- tulo-crustaceous and the ulcerative syphilides, which I now regard as a mistake. While crusting is very common in late eruptions, a well- formed pustule is seldom if ever seen. These crusted lesions result from the softening and suppuration of nodular and gummous de- posits. While deep ulcers constitute a striking feature of many late eruptions, ulceration is always secondary and frequently occurs in the early as well as the late forms of syphilis. In offering suggestions as to the proper classification and nomen- clature of cutaneous syphilis, I do not claim that they are complete or beyond criticism. Nor do I ask you to accept them if they do not accord with your own experience. But I can assure you that these suggestions are based upon what I have seen in the clinic and not upon what I have found in my library. As already intimated, I would divide the early eruptions into three forms: the macular, papular and pustular; and the late erup- tions into three forms: the nodular, squamous and gummous, as shown in the accompanying table. ERUPTIONS OF ACQUIRED SYPHILIS. Forms. Varieties. Descriptive Adjectives. Macular. Roseolar. Annular. Vitiligoid Maculo-Papular. Papular. Miliary . Lenticular Discoid . . Papulo-Pustular. Pustular. Acuminate Obtuse . . . Ecthymoid EARLY. Disseminate, corymbose, annu- lar. Disseminate, corymbose, hyper- trophic, confluent, squamous. Moist, annular, confluent, squa- mous. Crustaceous. Crustaceous. Crustaceous, rupial, ulcerative.
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