第2期咽頭梅毒の症状及び治療

　緒言

　吾々は昭和22年1月より昭和25年7月に至る間に例の第2期咽頭梅毒患者を経験したので之等に就いて其の臨床型の分類を試みると共に，少数例に就いてはペニシリンと砒素剤の併用療法を試みいささか臨床的に得る処があつたのでこれ等に就て述べてみる．

　症例は一括して第1表に示した．

OSAWA AND NAKAMURA made observations on, since 1947 to 1950, 21 patients afflicted with pharyngeal syphilis at the secondary stage. He divided the lesions into the following 6 clinical types: (1 Erythemato-us.(2) Verrucoid.(3) Edematous and infiltrative.(4) Ulcerative.(5) Tumorous.(6) Catarrhal.

Among the 21 patients 5 were given treatments with massive dose of penicillin-6,000,000 units-supplemented by either 15g. of salvarsan or 2.5g of marphasol and 2g of bismuth. Such treatments proved to be remarkably effective by early healings of lesions as well as establishment of negative Wa-serman reaction when they were instituted early in the disease. It was also found thae Herxheimer reactions were rarely encountered under such a re-gime.