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Article
June 1941

SYPHILIS OF THE CENTER OF THE FACE

Author Affiliations

CLEVELAND

From the Department of Dermatology and Syphilology of Cleveland City Hospital and of Western Reserve University School of Medicine.

Arch Derm Syphilol. 1941;43(6):943-948. doi:10.1001/archderm.1941.01490240023003
Abstract

Syphilis of the center of the face has been known for many years, but few instances of its occurrence have been reported. The condition probably is rare. Church1 stated that 1 in every 10,000 persons in this country is affected. Diday2 carefully described it in 1883.

Lacapère,3 in an interesting and inclusive monograph on syphilis in North African natives in 1922, reported that secondary syphilis is rarely seen in the natives but rather destructive tertiary-like transitional processes are seen frequently. Lacapère, like Fournier, called these "secondotertiary lesions." They are ulcerative and necrotic gummatous-like processes and apparently occur as a result of infection with an attenuated strain of syphilitic "virus" due to involvement in generation after generation without treatment. These syphilids usually are superficial and frequently are papular or vegetating.

The secondotertiary types are localized on the face, on the back of the neck, on the lower extremities

References
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Church, F. H.:  Syphilis of the Center of the Face ,  Bull. Hist. Med. 7:705-718, 1939.
2.
Diday, P.:  A Treatise on Syphilis in New-Born Children and Infants at the Breast , translated by G. Whitley, New York, William Wood & Company, 1883, p. 285.
3.
Lacapère, G.:  La syphilis chez les indigènes de l'Afrique du Nord ,  Ann. d. mal. vén. 17:321-370 and 493-515, 1922
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Pernhoffer, cited by Grön, K.:  Syphilisendemien , in Jadassohn, J.:  Handbuch der Haut- und Geschlechtskrankheiten , Berlin, Julius Springer, 1928, vol. 17, pt. (3) , pp. 285-337.
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Suzor, R.:  Bericht aus Tananariva ,  J. d. mal. cutan. et syph. 6:65-73, 1894
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abstracted,  Monatsh. f. prakt. Dermat. 19:35-36, 1894.
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Ledermann, R.:  Tertiäre kongenitale Syphilis der Schleimhaut , in Jadassohn, J.:  Handbuch der Haut- und Geschlechtskrankheiten , Berlin, Julius Springer, 1927, vol. 19, p. 87.
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During-Pascha, E.:  Studien über endemische und hereditäre Syphilis ,  Arch. f. Dermat. u. Syph. 61:1-32 and 357-400, 1902.
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Butler, C. S.:  Syphilis Sive Morbus Humanis , Brooklyn, N. Y., The Author, 1936.
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