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This always interesting topic was discussed at the recent International Medical Congress at Berlin, with the result of but little new information being added to our knowledge of the subject; although a review of methods of treatment and a comparison of results obtained, is not without value to new workers in any branch of medical science.
Dr. M. H. Leloir considered that the physician was justified in excising the primary syphiloma: 1. When the chancre was seen at its commencement; 2. When the chancre was situated where excision was easy and without danger (labia, prepuce, etc.); 3. When it was not yet accompanied by adenopathy; 4. When a unique chancre, or several chancres, could be removed easily; 5. When the patient was not diabetic, albuminuric, etc. Excision may be a means of aborting or of attenuating syphilis; and the facts on which these statements rest are sufficient to prove that,
THE TREATMENT OF SYPHILIS.. JAMA. 1890;XV(12):435-436. doi:10.1001/jama.1890.02410380023003