March 24, 1900


JAMA. 1900;XXXIV(12):755-756. doi:10.1001/jama.1900.02460120051007

It is well known that the stomach presents a degree of immunity against tuberculosis. Tubercle bacilli are undoubtedly frequently present in the gastric contents, but implantation and tuberculous ulceration rarely occur. In the small intestine it is different; here tuberculous ulcers are frequent. It is thought that the gastric juice, especially by virtue of its acidity, protects the mucous membrane against the tubercle germ. Syphilis of the stomach is also regarded as a decidedly infrequent gastric disease. At the present time no good reason can be given for the predilection of syphilis for some organs and its indifference toward others. As regards the stomach, however, it is rather doubtful just now whether syphilis of this organ is as "excessively rare" as stated in some of our text-books. There is reason to believe that gastric syphilis may be easily confounded with some of the more common affections, as well clinically as

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