Syphilis - a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment (1921) (14586513517)

Identifier: syphilistreatise00haze (find matches)
Title: Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment
Year: 1921 (1920s)
Authors: Hazen, H. H. (Henry Honeyman), b. 1879
Subjects: Syphilis Syphilis
Publisher: St. Louis : C.V. Mosby Co.
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School



Text Appearing Before Image:
Fig. 98.—Diffuse fflesaortitis of the luetic type. Diffuse aortic dilatation. Incipientaneurysm (X). Thrombosis of the innominate and carotid arteries. (Courtesy of Dr.Paul G. Woolley.) dyspnea upon slight exertion, and this often becomes worse, es-pecially if aortic insufficiency supervenes as it is so apt to do.In other instances the dyspnea may be paroxysmal in character,coming on in attacks which may last from five to fifteen minutes.The dyspnea is prone to be expiratory in character. In some fewinstances aortitis may cause a continued fever as Popoff^^ haspointed out. By some cyanosis is said to be common. 214 SYPHILIS
Text Appearing After Image:
Fig. 99.—Photograph ot left lung showing the opened aneurysmal sac of the mainbranch of pulmonary artery m upper lobe. Lying in the sac is a laminated blood clot.Just below the aneurysm, to the right of the branches, the slit-open dilated pulmonaryartery shows very well the sclerosis of the wall. Throughout the entire lung the smallerbranches of the arteries show marked sclerosis. (Courtesy of Dr. Aldred Scott Warthin ) SYPHILIS OF THE VASCULAR SYSTEM 215 The commonest complications are aortic insufficiency, anginapectoris and aneurysm. As already pointed out, aortic insuffi-ciency is an extremely common complication, in fact it may belooked upon as the natural result of practically all cases of aor-titis. Probably from one-fifth to one-sixth of the cases developan aortic dilatation, often sufficiently large to be called ananeurysm. In making the diagnosis the symptoms are of great importance.Next ranks a positive Wassermann reaction, at least in the casesthat do not show a dilatati