The Transactions of the New York Academy of Medicine
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1892 edition. Excerpt: ...minutely and bathed his penis so vigorously with antiseptic lotions and nitrate of silver solutions that he almost produced a severe balanoposthitis. On' the evening of the twenty-seventh day the mucous membrane seemed normal, but the following morning he presented a little red lenticular papule the size of a hempseed on the internal layer of the prepuce toward the right. At the request of the patient Rasori immediately excised the lesion, together with a liberal amount of the surrounding tissues. The wound was irritated by the foolish exploratory manipulations of the patient, and did not heal until the twenty-fifth day after the operation. " Escissione di un ulcero duro alla 12a ora della sua apparizione," Giornale italiano delle mallattie veneree e della pelle, 1881, p. 343 et seq. Before this, however, the ganglia had become perceptibly swollen. Forty-eight days after the operation unmistakable generalized manifestations of syphilis appeared." Gibier and Mauriac also excised chancres forty-eight hours after their appearance, yet syphilis followed in each case. Several other similar cases have been reported in the rich literature of the subject. In spite of these seemingly convincing results, some observers still regarded the chancre as a local lesion and favored an abortive treatment. Let us now consider my further experience. The following personal case Iwill give with considerable dctail, for upon it largely hang the conclusions reached in this essay. On January 3d, 1890, a gentleman came to me wishing to make an appointment for a date upon which I could circumcise him. At that time I made a preliminary examination of his penis, and on the free border of the prepuce I found a small, brownish-red, not excoriated...
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- 13 Sep 2013
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