Syphilis / by V. Cornil ; translated, with notes and additions, by J. Henry C. Simes and J. William White.
- Victor André Cornil
- Date:
- 1882
Licence: Public Domain Mark
Credit: Syphilis / by V. Cornil ; translated, with notes and additions, by J. Henry C. Simes and J. William White. Source: Wellcome Collection.
Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.
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![GDMMA OF THE SPLEEN. In one case which he saw post-mortem, there was simply slight enlargement with hardness, there was n#ifeaction with; iodine, and there were no gummata. He continues i^.^t.one reg^r^s, with Mr. Hutchinson, congenital syphilis as one of the exanthemata, this e'lilarge- ment might at first seem to have some affinity with the enlargement of the spleen in typhoid fever. But the spleen in typhoid fever is gene- rally, not always, an enlargement with softening; and, moreover, so far as I know, it does not remain permanently after the subsidence of fever. Mr. W. J. Tyson has reported a case^ of a child born of syphilitic parents, in whom, at two years of age, the spleen extended in a downward direction for three and a half inches, reaching the crest of the ilium ; in front it approached closely to the umbilicus. The liver was not enlarged, and there Avas no albumen present in the urine. He ordered mercury with chalk, one grain every morning and evening; and one grain of iodide of potassium with ten minims of syrup of iodide of iron to an ounce of water, three times a day. Sixteen months later the spleen had become imperceptible, and three years afterwards the child was in excellent health.] It is probable that the spleen is also more or less hypertrophied in secondary syphilis of the adult, but as a constant symptom this is not so well established. [Syphilis of the spleen during the secondary period is said to be due to hypergemia, and later to depend in many cases upon an inter- stitial hyperplasia, causing induration and fibrous contraction of the trabecular tissue where it takes place.^] Gummata of the spleen are very infrequent. [E. Wagner has very accurately described the gummata found in the spleen. The number of the tumors designated by this observer as syphilomas is various, and generally inversely proportioned to their size. They are always sharply circumscribed, generally round or roundish, seldom irregular, sometimes very small—most frequently one-half to one line, rarely one to one and a half inches in diameter. Recent syphilomas are grayish-red, homogeneous, somewhat dry, tough, almost cheesy. The surrounding splenic tissue is somewhat compressed, the remainder usually somewhat harder. Oppolzer, Frerichs, and Lancereaux consider the splenic tumor as a usual [' The Lanoot, Ootobor 23, 1880.] [2 Hill and Cooper, op. oit., p. 1U5.]](https://iiif.wellcomecollection.org/image/b2151852x_0413.jp2/full/800%2C/0/default.jpg)
