File:Diseases of the rectum and anus- designed for students and practitioners of medicine (1910) (14597932160).jpg

Identifier: diseasesofrectum00gant (find matches)
Title: Diseases of the rectum and anus: designed for students and practitioners of medicine
Year: 1910 (1910s)
Authors: Gant, Samuel Goodwin, 1869?-
Subjects: Anus Diseases Rectal Diseases
Publisher: Philadelphia : F. A. Davis
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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tary or acquired. The condition may first manifest itselfas slightly-inflamed red spots with raised epidermis. Thelatter is soon cast off as a result of irritation, leaving the rawsurface bathed in a mucoid discharge. When kept dry andclean, these sores rapidly heal. If, however, the secretions arepermitted to accumulate and decompose, hypertrophic changestake place. As these exuberances increase in extent the typic,flat, irregularly-nodulated masses are formed. They consti-tute the true syphilitic condylomata. The latter are whitishin tint, single or multiple in number, and exude a foul-smell-ing, auto-inoculable secretion. They vary from pea to handsize, and manifest a decided tendency to coalesce. Newgrowths in every way similar to the original condylomataspring up in those parts of the sound skin in contact withthem. This variety of condyloma is frequently one of theearliest manifestations of congenital syphilis, and is morecommon about the anus than in other parts. The author has
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PLATE XII.—NON-SYPHILITIC CONDYLOMATA (Condylomata Acuminata). VENEREAL DISEASES 183 seen syphilitic condylomata about the anus of children suffer-ing from congenital syphilis. Condyloma Acuminatum (Venereal Wart; Vegetation; Papil-loma).— Non-syphilitic discharges—gonorrheal, leucorrheal,chancroidal, etc.—which keep the buttocks and recto-analregion constantly moistened, frequently result in the produc-tion of vegations in these parts (Plates XII and XIII). Suchwart-like excrescences are called condylomata acuminata. Theprolonged irritation kept up by the secretions in time causeshypertrophy of the neighboring papillae. The papillae as they grow tend more and more to sub-divide; they are composed essentially of vascular fibrous tis-sue, but always inclose a number of leucocytes, and the baseon which they stand is always infiltrated. A proliferous lym-phangitis is often set up at the same time, as appears by theaccumulation of cells within and around the efferent lymph-vessels

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