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S. I. PATRICK, M.D.; R. J. REEVES, M.D.

AMA Arch Intern Med. 1953;92(6):920-925.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE PROBLEM of syphilis involving the stomach itself has been well covered in the literature. There is no typical x-ray picture. A gumma in the pyloric region may simulate pyloric stenosis or may appear to be an ulcer or a new growth. An infiltrating lesion of the wall closely resembles and cannot from a single study be separated from an infiltrating tumor. The commonest finding, however, is the hourglass deformity of the stomach.¹

Visceral attacks occur in 10% of persons suffering from tabes dorsalis. They may constitute an initial symptom and often occur in the preataxic stage; however, they are usually accompanied by pupillary signs or infection in the blood or spinal fluid.

Of the visceral crises the gastric type is commonest. The onset generally is featured by abrupt epigastric pain followed by retching and vomiting. Neither the pain nor the vomiting disappears with these ejections, and they may . . . [Full Text PDF of this Article]

Author Affiliations
DURHAM, N. C.

From the Department of Radiology, Duke Hospital.

Footnotes
Dr. Patrick is a trainee, United States Public Health Service.

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