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August 20, 1927

Les syphilis viscérales tardives.

JAMA. 1927;89(8):641. doi:10.1001/jama.1927.02690080073038

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In its concise and practical presentation of the subject, this calls to mind the volumes of Fournier, Lancereaux and Mauriac. The author states that in angina pectoris one should distinguish between an angina due to exertion and one coming on during decubitus. In the first-named, syphilis should be considered as a probability and treated accordingly. If there is a doubt as to the presence of syphilis, one has the right and often the duty to try antisyphilitic measures prudently and under strict surveillance. The anterior oblique position is recommended for measuring the caliber of the aorta. A knowledge of the pseudosurgical forms of late hepatic syphilis will permit the avoidance of dangerous and useless operations. Three rules are given for the treatment of late visceral syphilis: 1. Dosage should be sufficient to permit of activity of the agents employed. 2. Potassium iodide is almost always indicated. 3. Soluble metallic preparations

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