Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


_Diagnosis of Secondary Syphilis._--A routine examination should be made
of the parts of the body which are most often affected in this
disease--the scalp, mouth, throat, posterior cervical glands, and the
trunk, the patient being stripped and examined by daylight. Among the
_diagnostic features of the skin affections_ the following may be
mentioned: They are frequently, and sometimes to a marked degree,
symmetrical; more than one type of eruption--papules and pustules, for
example--are present at the same time; there is little itching; they are
at first a dull-red colour, but later present a brown pigmentation which
has been likened to the colour of raw ham; they exhibit a predilection
for those parts of the forehead and neck which are close to the roots of
the hair; they tend to pass off spontaneously; and they disappear
rapidly under treatment.

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