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Next to tuberculosis, syphilis is perhaps the most prevalent disease in China. Yet while the primary and secondary stages are frequently seen, tertiary lesions are less common, and so-called parasyphilitic affections are excessively rare. Syphilitic myelitis and endarteritis are fairly common, but in the medical service of the Yale Hospital there has been but one case of tabes dorsalis and none of general paralysis in the past year. This distribution does not hold in the large coast ports where there is a large Chinese population which has traveled outside of China and returned with a foreign luetic infection. In this class, the incidence of parasyphilitic conditions is similar to that in the west. No satisfactory explanation has been found for this state of affairs. It has been suggested that the Treponema pallidum of China is of a different strain from the occidental treponeme, and that it is not so prone
REED AC. SYPHILIS IN CHINA: REPORT OF SOME UNUSUAL SYPHILITIC LESIONS. JAMA. 1915;LXIV(17):1383. doi:10.1001/jama.1915.02570430015004
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