Excerpt from The Cleveland Medical Gazette, Vol. 2: A Monthly Journal of Medicine and Surgery; April, 1887 My master, Cornil, has perfectly established the characters of chancroid and infecting chancre in his lectures on syphilis. Here is what he says: On the one hand, in infecting chancre we observe sclerosis of the dermo-papillary tissue and thicken ing of the walls of the vessels. The superficial epithelium and the mucous body are present in part, the scanty secretion con tains a relatively small number of lymphatic cells. On the contrary, in the chancroid we have a growing crater, resulting from the rapid and complete destruction of the superficial, and deep layers of the epidermis, and from the progressive suppur ative melting of the papillary and dermic layers. The papillae connective tissues and sub-dermic tissues are transformed into fleshy granulations in which the vessels are not only sclerosed, but the fibrous network is dissolved and destroyed. You see. Therefore, there is an absolute difference between the two chancres. The one is a tumor, an eroded or ulcerated syphiloma, the other an ulcer. In some cases, rare moreover, of which you have seen a good example in this service, the chancroid may take on a papular aspect. In these cases, as you have seen in our patient, chancroid appears in the form of small red papules large as a lentil. Some may only be eroded, others may present at their center a small pustule, or a gray, cup-shaped erosion. The excellent water color which I exhibit to you was made by M. Nollet, a pupil in the service, and gives an exact idea of these lesions to those of you who have not seen the patient. But these papular chancroids were not indurated. Besides, these were found on the internal surface of the prepuce and in the balano-preputial fold characteristic chancroids - but the engorged inguinal lymphatic ganglia present none of the characteristics of primary adenopathy, and finally inoculations from papulous lesions have given positive results. A knowl edge of these papulous chancroids is of great diagnostic impor tance and it is possible that cases of this kind serve as argu ments for the Um'cz'st. This observation will be published. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.