Clinical Diagnosis of Primary Syphilis

more and more on pathological and X-ray findings, to the exclusion of clinical investigation in arriving at a diagnosis. Whilst the undoubted value of the pathologist and radiographer, as aids to diagnosis, is not disputed, it must be remembered that they are only " aids" and are not indispensable, and that clinical observations are still the key to correct diagnosis. The present-day syphilologist often tends to subordinate his own clinical findings to the frequently confusing reports of the pathologist, much to the detriment of his patients. In order to get the best results in treating syphilis the infection must be diagnosed before the Wassermann reaction becomes positive, and treatment must be started without delay. When a patient presents himself suffering from a venereal sore the problem is to find out as quickly as possible whether or not this