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August 10, 1935

Clinical Management of Syphilis

JAMA. 1935;105(6):459. doi:10.1001/jama.1935.02760320061029

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It is seldom that one will find in a small volume as many misstatements, inaccurate deductions, unscientific and vague clinical impressions and therapeutic misinformation as are found in this volume in the clinical management of syphilis. A few examples are the following: "The primary lesion of syphilis in some instances gives the general appearance of a mild urticaria from which the surface epithelium has been removed." "Many patients in all stages of syphilitic infection complain of 'stomach trouble.' " "Patients under treatment for syphilis should take a nap or siesta for an hour or two after their noon luncheon." "Individuals who are infected with treponema pallidum do much better when not exposed to the direct rays of the summer midday sun." In referring to diet and hygiene in syphilis the author's favorite dictum is "anything in moderation." Nothing is said about the harmful effects of alcohol and tobacco. Such inaccurate expressions

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