SCARLET FEVER. Synonyms.—Scarlatina; Scarlet Rash. Definition ...

are found in the scalp, face, and body, and vary in size from that of a
pinhead to that of a pea. They are firm, hard, and painless. Following
this we may have the pquamous, the vesiculo-papular, pustular, and
tubercular. These may follow in order or be developed independently of
each other. There may be fissures or mucous patches about the anus,
vulva, or vagina, that occasion a great deal of discomfort to the patient.
Alopecia is one of the frequent, and, to the patient, deplorable conditions
of this stage. Not only loss of hair from scalp, but the hairs of the eyelids
and brows may also drop out, giving the patient a ludicrous appearance,
and one to be dreaded. Iritis is not an uncommon condition of this stage.
The secondary stage may disappear in two or three months, or it may
occupy a year or more in its various evolutions.
Tertiary Stage.—It is
impossible to draw the
dividing line between the
various stages of syphilis.
Usually some time elapses
between tlie second and
third stage, sometimes years
intervening, during which
time the patient will
experience a season of
health. At other times the
tertiary lesions appear
before the secondary have
passed from view. These are
the later syphilides,
gummata, and amyloid
degenerations.
The eruptions in this stage
are more irregular and
involve deeper tissues.
Rupia, the most
characteristic, is covered by
dry crusts, beneath which
are the ulcers involving the
skin and deeper tissues.
These are slow in healing,
The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 220