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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![accompaniment of syphilis of the liver.' In twenty-two autopsies upon persons dying with well-marked syphilitic lesions, Dr. Green- field found gumraata of the spleen in three cases, in one recent, in the other two old and caseous.^ Amyloid degeneration of the spleen is frequently found in connec- tion with a syphilitic cachexia, and it is considered by many writers as having its origin in the latter affection. In a collection of one hundred and fifty-two cases of amyloid degeneration of the spleen, Fehr found thirty-four which suffered with constitutional syphilis. But, with Cornil, we are inclined to consider the amyloid degeneration as a consequence of a cachexia, produced by prolonged exhaustive sup- purative discharges, and not as a manifestation of syphilitic disease.] Splenic infarctions or the indurated nodules which foUoAV infarc- tions must not be mistaken for gummata. It is very probable that certain thickenings of the capsule are due to syphilis ; but they are so often met with in old persons, that they cannot be regarded as characteristic. [Anti-syphilitic treatment administered during the early period of gummata of the spleen ofters a possibility of recovery, but this is greatly lessened when the lesion has become chronic] Syphilis op the Supra-Renal Capsules.—The supra-renal cap- sules have been seen by Virchow in a state of fatty-degeneration during the tertiary period of syphilis. But this is a lesion which does not necessarily depend upon syphilis. A special alteration connected with hereditary syphilis is ob- served in new-born children. It affects both the capsule and par- enchyma of the organ (Ollivier, Ranvier, and Parrot). The capsule is inflamed and thickened. A section, examined microscopically, shows a new formation of embryonal elements, arranged in layers or round masses between the fibrous fasciculi. In the parenchyma are seen small spots or semi-transparent nodules, which consist of embry- onal cells, similar to those found in the liver of the same patients. Syphilitic Lymphatic Glands of the Tehtiary Period.—During the tertiary period of syphilis the lymphatic glands are not so frequently affected as during the stage of the chancre or the early cutaneous [' Hosier, Diseases of the Spleen ; Ziemssen's Cyclopnedia of Medicine, Am. ed.]](https://iiif.wellcomecollection.org/image/b2151852x_0414.jp2/full/800%2C/0/default.jpg)
