Identifier: manualofsyphili00hyde (find matches)
Title: A manual of syphilis and the venereal diseases,
Year: 1900 (1900s)
Authors: Hyde, James Nevins, 1840-1910 Montgomery, Frank Hugh, 1862-1908
Subjects: Syphilis Sexually Transmitted Diseases
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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l, however,of such a crust may disclose an abscess as large as thesection of a hens egg, with characteristic chancroidalulcer for the floor. Variations of chancroid are from each of the typesdescribed above. The shape, for example, may be alteredgreatly by the infection of a wound or of a point situ-ated between two abruptly elevated mucous sufaces.In the former event the lesion may be linear (chancroidof the anus or fraenum) or dumb-bell-shaped (as whenthe sore begins in the sulcus back of the corona glandisof the penis and spreads in a double circle over theprepuce and glans). Number.—The chancroid may be single; but it isusually multiple, and this multiplication may be enor-mous. Usually no more than from four to six lesionsare seen at one time upon a single individual; but inexceptional cases hundreds may be counted, as when, inwomen, the secretion from a few lesions on the upperportion of the vulva flows over not only the lowerportion but the entire perineum and anus. Plate 21.
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LUh.Ansl F. RiichhokJ. Miini CHANCROID. 285 Multiplicity in the number of chancroids dependschiefly upon auto-inoculability of the secretion. The se-cretion of the initial sclerosis of syphilis is non-auto-inoculable save in those cases where there is mixed in-fection (with chancroid), or irritation of the lesion byaccidental agencies, causing suppuration. The abun-dant pus of the chancroid, however, furnishes the amplestmaterial for ensuring multiplicity of lesions, not merely(as constantly happens) at the moment of infection, butalso after infection, to the point of production of twoor more chancroids which proceed promptly to multiplywhen contact with adjacent parts is not prevented. Size.—The majority of chancroids do not exceed insize the section of a large bean; but great variationexists between the extremes of the minute, pin-point-sized lesions, scarcely attaining average dimensions, andthe largest ulcers, which may considerably exceed insize a platter, covering, for example

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