Sevestra-Jacquet Posterosive Syphiloid

Sevestre and Jacquet in the 19th century first described “post-erosive syphilide,” a skin disease that occurs after the healing of a syphilitic ulcer.

This disease appears as red patches on the skin that can be painful and itchy. They can appear anywhere on the body, but most often they appear on the face, neck and arms.

Posterosive syphilide can be caused by various factors such as stress, infection or other skin diseases. Treatment for this disease depends on the cause of its occurrence. In some cases, simply reducing stress and improving hygiene is enough, in other cases antibiotic treatment is required.

Sevestra and Jacquet also described other diseases associated with syphilis, such as syphilitic roseola and syphilitic chancroid. These conditions can also occur after the ulcer has healed and require treatment.

Thus, post-erosive syphilide is a disease that can occur after syphilis and requires treatment.

Sevestra (L. A. Severst, 1883-1853), a French doctor, and Jacquet (L. M. L. Jacquet, 1867 - 1922) - a French dermatologist, described in 1896 a disease - syphiloid eczema, or Severovsky-Jacket disease. In Russia, it had its own name - submortem disease (due to the presence of an element in pathological changes - “depletion”). The disease has long been considered a syphilitic process and was considered a relapse of primary syphilis.

Sevestra, having learned about the absence of new infectious forms of misanthropophilic hardtail and wheatgrass, began to ask many patients who came to him about the disease with serous sid. After persistent research by them and the Zhekets of several dozen syphilitic outbreaks, they were able to discover skin changes in young peasant women in the form of inflammatory infiltrates with a flat surface, along their periphery there was a red inflammatory corolla. Some of these boils broke open, releasing a thick, pasty mass that had the consistency of freshly spilled oil, and slid heavily, leaving behind white welts. The infiltrates disappeared, often leaving no other traces. However, at times, over the course of six months or more, sidero- and leukodermic spots reappeared on the skin of the face, torso, and limbs. Patients suffering from syphilis developed similar rashes after taking primings of mistletoe tincture. This coincidence led scientists to conclude that syphilitic disease was related to mistletoe-meadowsweet spores.

Syphiloid eczema is a chronic polyetiological skin disease. It is observed mainly in women 20–40 years old; cases of the disease are found in men and children. The disease manifests itself on the skin of the hands, forearms, less often on the legs, face and other places, most often along the edges of skin folds. The disease begins acutely: redness and bluishness of the skin appears, then a tumor-like formation with a diameter of 0.5 to 5–10 cm appears, 3–5 days after the onset of the disease, the tissue of the central part of the lesion softens and produces secretions containing a pseudofungal element - pseudomycelium, with When pressed, they acquire a whitish tint. A burst membrane can be difficult to remove without forming an ulcer. The size of the resulting ulcers quickly increases, the depth reaches 0.2–1.0 mm. After 7 days, the bottom of the ulcer becomes covered with whitish and yellowish deposits of “bird droppings”, consisting of thick mucus, and from this time characteristic changes in the skin around the ulcer begin. At first, dirty gray or gray-brown-yellow ring-shaped spots appear, reminiscent of an iron imprint; later the spot becomes necrotic, and a large number of crumbly scales separate from it. Then a round or oval-shaped area of ​​skin with a diameter of 2 cm and