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The Journal of Cutaneous Diseases Including Syphilis, 1917, Vol. 35 (Classic Reprint)




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Excerpt from The Journal of Cutaneous Diseases Including Syphilis, 1917, Vol. 35 Major Vedder further estimates that 13 per cent, of the insanity in the army is directly attributable to syphilis. The frequency of death from syphilis is difficult to determine, as it is seldom given as a direct or contributing cause in death certificates Many cases are reported as arteriosclerosis, apoplexy, or from other causes. The application of the Wassermann reaction has shown that syphilis directly or indirectly is the cause of death in diseases in which its causation was formerly not known or only suspected. Lesser found that in 10 per cent, of all necropsies performed residuums of syphilitic disease were found. Syphilis is given by many authorities as the most frequent cause of death after tuberculosis. By others tuberculosis is not even excepted but syphilis is given first place. It is estimated that in large cities about 25 per cent, of individuals infected with syphilis die from some heart condition, and 3 to 4 per cent, from a syphilitic condition of the liver, kidneys, or other organs. Dr. Symmers report on 4,809 necropsies performed at Bellevue during the past ten years showed that in 6.5 per cent, effects definitely attributable to syphilis were present. It was found that in the majority of the cases, namely 55.7 per cent., the blood vessels bear the brunt of the affection, with disease of the liver in 37 per cent., and of the nervous system in 35.6 per cent. Statistics of life insurance companies are of value. Blaschko found that of S,000 policy holders one third died as the result of syphilis. His studies went back over a period of forty-five years and showed that the mortality among people infected with syphilis was 68 per cent, higher than among those who escaped infection. Furthermore, the mortality between the ages of 36 and 50 years was just twice as high among those who had had a syphilitic infection as among individuals of the same age free from such disease. The economic loss due to deaths from syphilis and the chronic invalidism resulting therefrom renders a systematic study of the disease of the highest importance. The relation of syphilis to all branches of medicine is so intimate and for its mastery such highly technical knowledge is required that a new specialty is rapidly springing up to fill a legitimate need in our teaching schools. Whether this new department shall be controlled by the internist, the dermatologist, the genito-urinary surgeon or by an independent syphilographer are questions for the various schools to determine. The practical answer to the question is that syphilis should be taught by the one who has the necessary training to grasp the problem. The dermatologist is better trained to recognize the early manifestations and is apparently the one best fitted to develop syphilis as a well rounded specialty. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.


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