The chancre of the lip begins on the mucous surface as a small crack or blister, which becomes the seat of a rounded, indurated swelling, about a quarter of an inch in diameter.
The secondary manifestations of the disease usually appear before the chancre has healed.
He taught, though this is a bit of knowledge supposed to come three centuries later into medicine and history, the true origin of chancre and phagedena.
A chancre or initial lesion is an infective granuloma resulting from the poison of syphilis.
A chancre is not a local lesion from which syphilis springs, but is a local manifestation of an existing constitutional disease, hence excision is entirely useless.
During the three weeks or more requisite to develop a chancre the poison is continuously entering the system, and when the chancre develops, the system already contains a large amount of poison.
The chancreappears at the point of inoculation, and is the first lesion of the disease.
The primary stage comprises the chancre or infecting sore or bubo.
It is always easy to disprove such an allegation, however, for syphilis communicated in vaccination always shows itself first in the form of a chancre at the site of the vaccination.
When the chancre is within the meatus, iodoform bougies are inserted into the urethra, and the urine should be rendered bland by drinking large quantities of fluid.
If the induration is well marked, the chancre can be palpated through the prepuce, and is tender on pressure.
It differs in some respects from the hard chancre as met with on the penis; it is usually larger, the induration is more diffused, and the enlarged glands are softer and more sensitive.
Spirochæta pallida from scraping of hard Chancre of Prepuce.
Erratic chancre is the term applied by Jonathan Hutchinson to the primary lesion of syphilis when it appears on parts of the body other than the genitals.
This relapsed induration is often so like that of a primary chancre that it is impossible to distinguish between them, except by the history.
A primary chancre at the edge of the nail may be mistaken for a whitlow, especially if it is attended with much pain.
It is the exception for a hard chancre to leave a visible scar, hence, in examining patients with a doubtful history of syphilis, little reliance can be placed on the presence or absence of a scar on the genitals.
A chancre within the orifice of the urethra is rare, and, being concealed from view, it can only be recognised by the discharge from the meatus and by the induration felt between the finger and thumb on palpating the urethra.
The hardchancre is usually solitary, but sometimes there are two or more; when there are several, they are individually smaller than the solitary chancre.
A patient who has had an infecting chancre one or more years before, may present a slightly raised induration on the penis at or close to the site of his original sore.
The time between the appearance of the chancre and the appearance of the rash on the body (the rash looks like a measles rash and is called roseola, which means a rose-colored rash) is called the Primary Stage.
Cutting out the chancrewill not cure the disease, because, as stated, the germs are already in the system.
The disease is already systemic, or constitutional, and the chancre is the local expression of a constitutional disease.
We have seen many patients who considered syphilis a trifling disease, because all they knew of their disease was thechancre and the first eruption, i.
The time between the contraction of the disease (the infectious intercourse) and the appearance of the chancre is called the Incubation Period.
A chancre is an ulcer, but an ulcer is not necessarily a chancre.
If I understand it right then, the sexual excitement produces epilepsy, and the chancre superadds tetanic complications.
The chancre and syphilitic sores were evidence that Cook had undergone such excitement.
The simplechancre is common; the indurated chancre not unfrequent; the phagedaenic chancre is seldom met with.
It took the shape of a virulent chancre on the palate, and the girl was sent to the Hospital du Midi for treatment.
Broadly speaking, the secondary stage of syphilis is the one in which the infection ceases to be confined to the neighborhood of the chancre and affects the entire body.
A patient who has gotten a fixed conception of a chancre into his head will argue insistently that he never had a hard sore, that his was soft, or painful instead of painless, or that it was only a pimple or a chafe.
Children infected in this way at birth do not develop the true hereditary form of the disease, but get the acquired form with a chancre and secondary period, just as in later life.
The chancre may be small and hidden in some out-of-the-way fold or cleft, and because it is apt to be painless, escape recognition entirely.
All these forms are easily within the ordinary limits of variation of the chancre from the typical form described in books, and an expert has them all in mind as possibilities.
Some persons with syphilis may have almost no recognizable lesions after the chancrehas disappeared.
On the other hand, imagine the prospects for infection when the child is born through a birth-canal filled with mucous patches or with a chancre on the neck of the womb.
If, for example, the chancre is on the genitals, the glands in the groin will be the first ones affected.
A chancre acquired from a drinking cup or pipe may be transmitted to husband or wife through a mucous patch on the genitals and to children through an infected mother, without the question of innocence or guilt ever having arisen.
This is just as true of a chancre on the lip or chin as on the genitals.
The primary stage was supposed to extend from the appearance of the first sore or chancre to the time when an eruption appeared over the whole body.
It is seldom that more than one chancre occurs: the usual situation is on the glans and lining of the prepuce; but they occasionally form on the outer surface of the prepuce, and on the dorsum penis.
Chancre is an indolent ulcer when compared with the phagedenic or sloughing sore, the ulceration proceeds very slowly, and, in proportion as it advances, the surrounding hardness increases.
Phymosis occasionally takes place, in consequence of chancre situated at the orifice of the prepuce, but not so frequently as when that situation is occupied by superficial sores of a more active nature.
Another secondary symptom of chancre is ulceration of the throat, sometimes extensive, but generally situated in the tonsils, or their immediate neighbourhood.
In some cases of chancre or other ulcer, the absorbents along the dorsum penis become swollen, and occasionally suppurate.
The secondary incubation, or the time between the appearance of the chancre and the development of what are called the secondary symptoms,--usually about six months.
The primary stage: the chancre forms and the neighbouring glands are affected.
The patient had had a chancre in 1902, “cured” in four or five weeks with xeroform.
He had been 12 years a stoker, and 16 years before admission had suffered from syphilis, a chancre locally treated with black wash, without secondary rash.
Footnote 61: If chancre were the first symptom of constitutional syphilis, why should it not appear in cases of hereditary syphilis?
There are syphilographers who deny that the hard chancre has ever been found within the sphincter muscles; but it certainly is not uncommonly found in the anal region, and oftener among women than men.
True primary syphilitic chancre of the rectum must be an extremely rare lesion, and could have been acquired only by unnatural intercourse.
He bore several scars of tertiary ulcers about the nose and forehead, and made no secret of having suffered from chancre six or seven years before, and from subsequent secondary and tertiary symptoms.
The bite of such a man will develop a chancre and any pipe, cup, or tooth pick which he uses, or his kiss, will give syphilis.
A syphilitic tattooer who wets his needles and his India ink with spit will put a chancre into the skin with the picture.
As every case of gonorrhœa and soft chancre afterwards developed syphilis, ultimately I had thirteen cases of syphilis under my treatment alone.
The chancre disappears in a few weeks and then there is a period when the individual has no outward manifestations of the disease.
In about six weeks after the chancre the so-called secondary symptoms make their appearance.
