Syphilis of the circulatory system : a compilation of abstracts from the Division of venereal diseases compilation no. 6, July 1, 1927 / United States Public Health Service.

Date:
1927
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Licence: Public Domain Mark

Credit: Syphilis of the circulatory system : a compilation of abstracts from the Division of venereal diseases compilation no. 6, July 1, 1927 / United States Public Health Service. Source: Wellcome Collection.

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    Biniodid of mercury_________ Es editor yiprane co Sea bere ee gy Pe gm__ 0.10 Poduaaa +] Otek oN ay OR ae na GOs 2 ee LO boiled swater OQ; Soke ois oe ee eh Ns Cee 1G PenzOnte. OF WCLCULY ve Sr eel cae mse. 4 OCT eiy | CLIPOTHE: kunt Sar neg atl eG Raa he doste 2. 50 mLerilized. “waiter ‘Q/ Bika oe Sees aoe at e. ec_- 100 Heart failure: Preventive treatment.—John Parkinson. Lancet, London, 1923, I, 917. “A syphilitic history or a positive Wassermann reaction, in the absence of a rheumatic history, gives the key to a rational treatment for preventing heart failure. It is a tertiary lesion in a dangerous place. Hutchinson’s pill (hyd. c. creta, pulv. ipecac, co., aa gm. 1) t. d.s., and a bitter mixture, containing potassium iodid gm. 10, also t. d. s., is convenient for prolonged administration. In cases not progressive or too advanced, after a month of such treatment the use of salvarsan should be considered. If decided upon, novarseno- billon intravenously, 0.3, 0.45, 0.6, 0.6, 0.6, 0.6 in successive weekly doses is suitable. By antisyph:litic treatment we may postpone or prevent not only heart failure in its ordinary form but the special dangers of angina pectoris and aneurysm.” Difficulties in the treatment of syphilitic aortitis—H. Bonnin. Gaz. sc. méd. de Bordeaux, 1926, XLVIT, 3. Generally treatment with mercury, bismuth, and arsenic is not well tolerated by patients with syphilitic aortitis with renal and cardiac insufficiency. ‘The remedies are tolerated in the above se- quence. ‘These patients have become purely cardiac patients. Where the remedies can be employed function is improved. Complete retro- cession is rare, but slight regression and arrest of further develop- ment must be considered as excellent results. Treatment must be continued for a long time. Insufficient or intermittent treatment often occasions severe attacks. Early syphilitic aortitis is precarious and tolerance poor. The patient remains in a doubtful state. Car- diac lesions must be examined for syphilis in order to avoid disappointment when treating. Syphilitic aortitis with special reference to treatment.—Louis Potheau. Internat. clinics, Philadelphia, 1924, IT, 107. In every case of aortitis syphilis should be suspected, and in every case of syphilis aortitis should be thought of. In 330 cases of simple thoracic aortitis Etienne found 268 with syphilis. Guilly published statistics of 233 cases of paresis with 51 instances of aortitis. Aor- same lesions as in the acquired form. The treponema has been found in aortic lesions by several observ- ers. It is during the secondary stage that the germ invades the aorta