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While syphilis is acknowledged to be the most frequent cause of stricture of the rectum, and the profession at large are well posted as to this fact, I have been surprised in post-graduate teaching to find how little the modus operandi of its production is understood, and how little the prodromic and precursive conditions are appreciated.
I do not propose in the present paper to discuss stricture of the rectum in a general way, as this would lead me into too wide a field. In order, therefore, to make plain the bearing of my remarks it may be well to state at the outset that I have little faith in any syphilitic stricture of the rectum, that has not been preceded by ulceration of that organ. Gummata may produce narrowing of the canal as in the cases reported by Zapula (Arch. f. derm. und syph., Prague) and Molliere, but certainly
TUTTLE JP. SYPHILITIC ULCERATION OF THE RECTUM. JAMA. 1896;XXVI(5):220–223. doi:10.1001/jama.1896.02430570022001h
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