In recent years there has been a decided lessening in the frequency of destructive lesions of the so-called tertiary stage of syphilis. This is also true of acute syphilitic transverse myelitis. Previous to 1912 numerous European observers had recorded a relatively high incidence of acute syphilitic paraplegia, over 200 cases, totaling from 17 to 26 per cent of all cases of spinal syphilis. However, in this country only 5 cases have been reported by four observers (Cole,1 Skoog,2 Lindemulder3 and McCausland4) in the past fifteen years, though sporadic unreported cases have obviously occurred. In more striking contrast, Chung5 has reported from China 34 cases of acute syphilitic paraplegia, or 39 per cent of the cases of spinal syphilis. This report comes from one clinic over only eight years in a country where syphilis is two to three times more prevalent than in this country. Chung's
BERMAN S. ACUTE SYPHILITIC TRANSVERSE MYELITISA CLINICAL STUDY AND REPORT OF A CASE. Arch Derm Syphilol. 1940;41(6):1078–1085. doi:10.1001/archderm.1940.01490120080012
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