Text Appearing Before Image: Fig. lb>4.—Hereditary Syphilis, Maculo-papular Eruption.Unusual degree of annular appearance. Courtesy of Dr. J. F. Schamberg. Text Appearing After Image: Fig. 185.—Papulo-pustular Syphiloderm.Courtesy of Dr. M. B. Hartzell. SYPHILIS 569 the mouth, the anal region and the genitals, but may develop in anysituation where the skin is thin and delicate, such as behind the ears,between the fingers and about the navel. The condyloma, however,is not the earliest eruption of hereditary sj^philis, but is particularlycharacteristic of relapses. A more papular eruption of a brown-red coloris seen oftenest upon the palms and soles and the forehead. Less oftenseen, and in severer cases, is a papulo-pustular eruption (Fig. 185) whichmay terminate in ulcerated or ecthymatous lesions. The roseola ofacquired syphilis is rarely if ever witnessed in the hereditary form. The diffuse eruption is common and very characteristic, and is notobserved in acquired syphilis. It consists of a diffuse infiltration of the
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