It has long been recognized that trauma may determine focal manifestations both in active and in latent syphilis. Stokes in his recent book mentions this, quotes numerous authorities and cites several cases of his own.1 If syphilis may be likened to a fire-brand, lighting up latent disease in any part of the body, then trauma may be compared to a percussion cap that can set off without warning in a syphilitic patient an explosion of the disease which may be local or systemic in its manifestations. Just what happens at the site of the trauma is an interesting question which will not be discussed here.
Does the Spirochaeta pallida take active control? Are the tissues, weakened by the syphilitic toxins, made more vulnerable? Are these factors combined in a varying degree in each case, according to the resistance of the patient? Whatever the answers may be, the fact remains
THORNLEY JP. AN UNUSUAL MANIFESTATION OF SYPHILIS FOLLOWING TRAUMA: REPORT OF A CASE. Arch Derm Syphilol. 1927;15(6):690–694. doi:10.1001/archderm.1927.02370300048008
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