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Article
November 29, 1919

THE EARLY DIAGNOSIS OF SYPHILISAND A COMPARATIVE STANDARDIZATION OF THE TREATMENT

JAMA. 1919;73(22):1661-1663. doi:10.1001/jama.1919.02610480011006
Abstract

In the problem of syphilis it is imperative to secure an earlier and more efficient diagnosis of the disease than is the case at the present and a more generalized effective treatment. This should be the keynote of our endeavors.

The early diagnosis of syphilis is an unknown quantity to many men who are practicing medicine in our times. To men who have the older ideas of the disease to guide them, ideas that are firmly planted in their minds by a couple of decades of practice, it seems almost sacrilege to insist that waiting for secondaries is a criminal action and that we lose the benefit of the one psychologic moment in the life history of syphilis when we can seize our real opportunity.

The definite diagnosis in the early primary stage before the spirochete has spread to the lymphatic system near the primary lesion and before the serologic

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