Essentials of Diseases of the Skin / Including the Syphilodermata Arranged in the Form of Questions and Answers Prepared Especially for Students of Medicine

by Henry Weightman Stelwagon

Fig. 55.

Rupia. (After Tilbury Fox.)

In the other type—the deep variety—the crust is greenish or blackish, is raised and more bulky, often conical and stratified, like an oyster shell—rupia; beneath the crusts may be seen rounded or irregular-shaped ulcers, having a greenish-yellow, puriform secretion. It is usually a late and malignant manifestation.

How would you differentiate the large flat-pustular syphiloderm from ecthyma?

The syphilitic lesions are more numerous, are scattered, are attended with superficial or deep ulceration, and followed by more or less scar-formation. Moreover, the history, and presence or absence of other symptoms of syphilis have an important diagnostic value.

Fig. 56.

Ulcerating Tubercular Syphiloderm.

Describe the bullous eruption of syphilis.