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transmit syphilis to her child. If the father is affected, but not the wife, the child may escape. Syphilis attacks every organ in the human body. The actual degree of infection has no relation to the size or character of the external manifestations. The external evidence may be minute and insignificant, while the internal extent and ravages of the disease may be tremendous and of large proportions. Many men when asked regarding incidents of the long ago, may state, "Oh, yes, I had a chancre twenty-five years ago, but it was a very small affair and soon healed up and was cured." Yet that same little chancre, that made only a mild impression on the man's mind, may, and most probably will, be the direct cause of that man's death. It is not possible to tell with absolute certainty that an individual is suffering with syphilis by any known test. The most recent one--the Wassermann test--is not absolute by any means. The first symptoms, or what is known as the initial lesion of syphilis, is the chancre. THE CHANCRE is a small, hard tumor, or it may be a small ulcer with a hard base, or it may simply appear as a thin small patch on any mucous membrane. It is not painful, it can be moved if taken between the fingers, showing it is not attached to the deep structures, and when it is so moved it is not tender or sore. Any little lump which ulcerates located on the genitals must be regarded with suspicion. Boys and men should not be satisfied with any offhand statement that, "it is nothing." It may be a chancre, and it may be exceedingly serious if not properly diagnosed. Systemic, or constitutional symptoms, begin to show themselves any time from the sixth to the tenth week after the appearance of the chancre. ERUPTIONS OF THE SKIN characterize every case of syphilis. They occur in all degrees from the mild rash to the foul ulcer. The ulcerative process is very often extensive and loathsome. MUCOUS PATCHES AND ULCERS affect the mucous membranes. The mouth and throat are favorite locations for these lesions. They occur in the anus and rectum, and may be mistaken in that region for other serious conditions. Men who drink and smoke suffer as a rule severely from mucous patches in the mouth and throat. Syphilis attacks the blood vessels and the lymphatic glands. These cases may have been unrecognized, and may have existed for many years. A man may die from a rupture of a blood vessel in the brain during middle life
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