A treatise on venereal diseases / by A. Vidal (de Cassis) ; translated, with annotations, by George C. Blackman.
- Auguste Vidal de Cassis
- Date:
- 1874
Licence: Public Domain Mark
Credit: A treatise on venereal diseases / by A. Vidal (de Cassis) ; translated, with annotations, by George C. Blackman. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![ease. Now, the case just related, furnislies another proof that an individnal may have a second attack of constitutional syphilis. Indeed, we find that this patient, after several primitive symptoms, after a superficial cutaneous eruption, for four years appeared to be cured—that is, there was no symptom of syphilis—and then came an exostosis of the tibia, a symptom reputed tertiary, and simultaneously with this, a deep-seated syphilitic eruption. I re- collect perfectly well this first disease, and I treated it successfully with the iodide of potassium. But, two months afterwards, the patient contracted new chancres, which were about two months in becoming cicatrized, and two years afterwards he had a blennor- rhagia complicated with orchitis. Finally, in 1850, a new syphil- itic eruption appeared on the right shoulder, arms, and on the abdomen; at first it presented the squamous form, then it ulcer- ated and suppurated profusely; finally, crusts formed, which were surrounded by large red patches. Is this last eruption to be re- garded as the effect of the last chancres, or of the blennorrhagia with which he was affected in 18-18 ? Was it not a new attack of syphilis ?■ I am aware that it will be answered, that it was only a return of the eruption with which he had already been affected; but I would remark, 1st, that this relapse occurred somewhat late, for it was three years after the former attack; 2d, that it was more superficial than the former, with which the exostosis co-existed. Indeed, the cicatrices of both still remain, and may be compared; by which it will be found that the latter are more superficial. Now, we know that the syphilitic eruptions are more profound as they occur late in the disease. Besides, if the last eruption waS' not produced by a second attack of syphilis, then it was a second- ary, occurring after a tertiary symptom. Head the following re- port of the progress of the case made by my interne^ M. Codet: L. Christian, get. 85, glazier, of lym]3hatic temperament, feeble constitution, admitted June 7th, 1852, Ward 12, No. 10. In 1839, this patient contracted a chancre on the glans; he was imprudent, and continued cohabiting with women. Soon new chancres appeared, and for three or four years he had sores on his penis. At the same time, there were vegetations on the prepuce and glans. The inguinal glands on both sides became much en- larged, but never suppurated. In 1812, he had confirmed syphilis, crusts in the hair, syphilitic eruptions which left but superficial traces behind; these symptoms disappeared with scarcely any treatment. Four years afterwards (1846), L. had an exostosis of the right tibia.; at the same time, there appeared deep ulcerations on the arm, legs, and a small portion of the trunk. The cicatrices of these are still quite evident. L., having been admitted to the Hojntal du Midi (service of M. Vidal), was placed under the influ- ence of the iodide of potassium, and left, cured, in about three months. Two months after leaving the hospital, he contracted a new chancre. The inguinal glands did not enlarge, according to the patient's statement, and the chancre became cicatrized, in the course of two months, no other dressings having been applied than diluted Goulard's extract.](https://iiif.wellcomecollection.org/image/b21082340_0451.jp2/full/800%2C/0/default.jpg)
