File:Diseases of the mouth; for physicians, dentists, medical and dental students (1912) (14772634902).jpg

Identifier: diseasesofmouth00zins (find matches)
Title: Diseases of the mouth; for physicians, dentists, medical and dental students
Year: 1912 (1910s)
Authors: Zinsser, Ferdinand
Subjects: Mouth Syphilis
Publisher: New York, Rebman
Contributing Library: Dentistry - University of Toronto
Digitizing Sponsor: University of Toronto

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
istered.Since then no treatment was taken. For several years a large ulcer existed on thethigh. Six weeks previous to the condition as seen inthe plate there was difficulty in swallowing. At thetime the patient entered the hospital she was muchrun down, and on the left thigh there were a deepgummatous ulcer, as large as the palms of two hands,and several small gummata. The soft palate on bothsides was perforated. The borders of the perfor-ations were ulcerated and ulcers also existed on theposterior wall of the pharynx. All of the ulcers hada dirty grayish covering. The Wassermann reactionwas positive. After an intramuscular, and intravenous injec-tion of salvarsan the throat ulcerations healed entirelywithin three weeks, while the gummata of the skindiminished greatly in size within six weeks. Thepatient gained 16 pounds. The plate shows the con-dition of the soft palate, etc., when the patient left thehospital. Speaking and swallowing were not inter-fered with. 148 Plate XX. Fig. 23
Text Appearing After Image:
PLATE XXI Figure 24.—Ulceration of tiie Fauces iniVIalignant Sypiiilis Figure 24.—Ulceration of the Fauces inMalignant Syphilis The entire left anterior and posterior pillars of thefauces, almost all of the uvula and the left tonsil areulcerated, so that there is a deep destruction of themucous and submucous tissue. The floor of the ulceris covered with a markedly adherent white diphthe-roid necrotic membrane. The wall of the ulcer is pre-cij^itous. The surrounding mucous membrane, toa considerable distance from the ulcer, is actively con-gested, oedematous, and swollen. To the left of thelarge ulcer is a small one having a sharp border andtending to unite with the large one. The patient, awoman fifty-one years old, had eight to ten weekspreviously a chancre of the lower lip with a submaxil-lary adenitis. At the time when the idceration of thefauces occurred there were no skin manifestations, butthere was a periosteal gumma of the right tibia. TheWasserviann reaction was positive.

Note About Images