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Nature volume 135, page 167 (02 February 1935) | Download Citation



THE first edition of Dr. Bayly's “Venereal Disease” appeared in 1919. This is the fifth edition, and it is an improvement on the other editions. The author very wisely, we think, points out that a number of competent judges consider that there is a definite increase in the prevalence of neurosyphilis, and not a reduction, as so many hoped there would be. Probably the wish was father to the thought. It is probable that the ideal treatment for general paralysis is tryparsamide followed by malaria or some other pyrexial treatment and then tryparsamide again. The last word on the various fever and arsenical treatments of general paralysis has by no means been said, and in twenty years' time we may find all these present treatments scrapped. From the descriptions given, it is rather difficult to see how a differential diagnosis between cerebral syphilis and general paralysis can be made.

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