Systemic, or constitutional symptoms, begin to show themselves any time from the sixth to the tenth week after the appearance of the chancre.
Eruptions of the Skin characterize every case of syphilis. They occur in all degrees from the mild rash to the foul ulcer. The ulcerative process is very often extensive and loathsome.
Mucous Patches and Ulcers affect the mucous membranes. The mouth and throat are favorite locations for these lesions. They occur in the anus and rectum, and may be mistaken in that region for other serious conditions. Men who drink and smoke suffer as a rule severely from mucous patches in the mouth and throat.
Syphilis attacks the blood vessels and the lymphatic glands. These cases may have been unrecognized, and may have existed for many years. A man may die from a rupture of a blood vessel in the brain during middle life as a consequence of a forgotten, supposedly cured case of syphilis many years before.
The Interior Organs may be attacked by syphilis. As a result we get disease of the liver, heart, stomach, kidneys, lungs, and other parts. It has been suggested that many diseases affecting these organs, for which treatment proves unsatisfactory, may have had their origin in a former syphilis.
The Brain and Spinal Cord are quite often the seat of syphilitic affections. A tumor, known by the name of "gumma," is the result. The blood vessels of the entire nervous system may be affected and, as a consequence, we often see cases of paralysis, apoplexy, epilepsy, locomotor ataxia and death.
The Nose, Eye, Ear, Throat, are frequently very seriously compromised as a result of the syphilitic poison. Deformity, caused by rotting of the bones of these parts is not infrequent. Loss of voice, or smell, or hearing, or sight, may result.
The Hair and Nails may fall out. The bones may ulcerate and rot. The organs of procreation usually participate in the degenerative process. Virility is destroyed, and impotence is quite common after a severe attack.
WHAT THE BOY WITH VENEREAL DISEASE MAY CAUSE IN OTHERS
Gonorrhea.—When the average boy acquires gonorrhea he frequently does not know, for many weeks, that he is the victim of a dangerous, infectious disease. He appreciates probably, that it relates to the sexual indiscretion he was guilty of, and feels that it is something to be ashamed of. He therefore hides his condition, confides in no one, and blindly hopes it will get better somehow or at some time. Meantime the disease, which may have been mild at the beginning, is gradually gaining ground and strength, and his neglect may eventuate in lifelong misery. No means are taken to guard against spreading the infection, the discharge may lodge on his fingers and he may infect his eyes and may lose his sight because he did not know that the discharge is one of the most dangerous fluids known. It may get on water-closet seats and infect others. Eventually he is compelled to seek aid, and he may, after a long period, be freed from the immediate consequences of his folly. At a later date he marries, and as previously explained, he infects his wife. This is the beginning of much of the domestic infelicity that is so prevalent to-day, and, inasmuch as it is a subject that should be thoroughly understood by every woman and mother, I shall carefully and clearly explain its significance and its consequences.