Excerpt from Syphilis in Dentistry
Fournier collected cases of extra genital chancre, of which 847 cases were in the region of, the head, most of them located about the lips.
Bulkley gives a total of extra. Genital infections, and the site of the tonsil is sixth in frequency. The tonsils and throat together are given as the site of 571 cases, which place the throat as fourth in frequency, being exceeded only by the lips, breast and nipples.
Kyle says that next to the genitalia, the tonsil and pharynx are the most frequent sites for the primary lesion.
Many cases: of chancre of the tonsil are overlooked, for they have little resem blance to cancers which occur on the genitals. The source of syphilis in the mouth is varied: kissing, infected utensils, the pipe or cigar, and dental instruments, convey the infection.
The diagnosis of secondary and tertiary syphilis of the throat is easy, but that of primary involvement is difficult.
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