DBook II SVPHILIS ' . 1397

infants who, by sucking milk from a mother or nurse who was
infected, were themselves infected in a precisely similar way.
"This contagion did not leave fomes behind, or only when some
especially favorable opportunity occurred, nor did it propagate
itself to a distant object. It did not manifest itself at once,
but remained latent for a certain time, sometimes for & month,
sometimes for two months, and often even for four months.
But meanwhile there were some indications that the disorder
had been contracted. The patient's mind was dominated by
a sort of sadness, his body by lassitude, and his face became
pale. At last, in the majority of cases, small ulcers began to
appear on the sexual organs, not unlike those which arise from
over—fatigue and are called 'caries',*' but in their nature they
are very different; for the kind that appears in syphilis was in—
tractable and would not depart, but when subdued in one part
of the body, it would germinate in another place and propagate
itself so that it never died out. Next, the skin broke out with
incrusted pustules, in some eases beginning with the scalp,
which was what usually happened, though in other cases they
began elsewhere. When they first appeared, the pustules were
small, but they soon grew little by little till they were the size
of the cup of an acorn, which in faect they resembled; they were
not unlike those eruptions which in children are called 'achores'.
Many very different varieties of these were observed. On
some patients they were small and rather dry, on others larger
and fatter; again, on some they were livid, on others whitish,
turning pale, or in other eases harder and reddish. But all,
after a few days, opened of themselves and discharged a sort
of sticky, offensive mucus, and it would be hard to say how much
mucus or how foul was continually discharged. Next, these
ulcerated pustules ate away the skin, as do those ulcers which
are called phagedenic; and they sometimes infected not only
the fleshy partes but even the very bones as well. In cases
where the malady was firmly established in the upper parts of
the body, the patients suffered from pernicious catarrh which
eroded the palate or the uvula, or the pharynx and tonsils.  In
some cases the lips or nose or eyes were eaten away, or in others
the whole of the sexual organs. Moreover, many patients
suffered from the great deformity of gummata which developed
on the members; these were often as large as an egg or a roll of
bread, and when opened contained a white, sticky mucus.