Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


_In the female_, the primary lesion is not so typical or so easily
recognised as in men; it is usually met with on the labia; the
induration is rarely characteristic and does not last so long. The
primary lesion may take the form of condylomata. Indurated oedema, with
brownish-red or livid discoloration of one or both labia, is diagnostic
of syphilis.


The hard chancre is usually solitary, but sometimes there are two or
more; when there are several, they are individually smaller than the
solitary chancre.

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