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Updated: May 14, 2025
In consequence of their divergence from the typical chancre, and of their being often met with in persons who, from age, surroundings, or moral character, are unlikely subjects of venereal disease, the true nature of erratic chancres is often overlooked until the persistence of the lesion, its want of resemblance to anything else, or the onset of constitutional symptoms, determines the diagnosis of syphilis.
Kissing games are potentially dangerous, and a classical example of this danger is that of a reported case in which a young man in Philadelphia infected seven young girls in one game, all of whom developed chancres on the lips or cheeks. It is no great rarity to find a syphilis dating from a sore on the lip that developed while a young couple were engaged.
They accord with the sombre bulging of the foliage, in which now there are only images of giant or dwarf hips, feminine triangles, great V's, mouths of Sodom, glowing cicatrices, humid vents. This landscape of abomination changes. Gilles now sees on the trunks frightful cancers and horrible wens. He observes exostoses and ulcers, membranous sores, tubercular chancres, atrocious caries.
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. On the other hand, chancres on parts other than the genitals may be acquired in any but innocent ways.
It would be easy to multiply instances of the ways in which syphilis may be spread by the careless or ignorant in the close associations of family life, but little would be accomplished by such elaboration that would not occur to one who took the trouble to acquaint himself with the principles already discussed. Schamberg, J. F.: "An Epidemic of Chancres of the Lip from Kissing," Jour. Amer. Med.
The sensation on grasping it has been aptly compared to that imparted by a nodule of cartilage, or by a button felt through a layer of cloth. The evidence obtained by touch is more valuable than that obtained by inspection, a fact which is made use of in the recognition of concealed chancres that is, those which are hidden by a tight prepuce.
Then, to obtain peace, I told him that young lads had nothing to do with such places, and could only enter them at the peril of their lives, because it was a place where men and women were manufactured, and the danger was such for anyone unacquainted with the business that if a novice entered, flying chancres and other wild beasts would seize upon his face.
"'Little blackguard, said I, 'I'll give you a taste of the whip. "Then he began to moan and cry. I told him that if he would confess all that had happened to him I would let him off the beating. "'Ha, said he, 'I took care not to go in, because of the flying chancres and other wild beasts. I only looked through the chinks of the windows, in order to see how men were manufactured.
ACQUIRED SYPHILIS Primary period: Incubation, primary chancre, glandular enlargement; Extra-genital chancres Treatment Secondary period: General symptoms, skin affections, mucous patches, affections of bones, joints, eyes, etc.
Yet it is notable that extra-genital chancres are the not uncommon result of liberties taken with light women which do not go to the extent of sexual relation.
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