Abstract
Two late-19th-century writers provide parallel cases of syphilis, illustrating the progression of disease from infection to the final dementia of paresis. Guy de Maupassant (1850-1893) and Friedrich Nietzsche (1844-1900) each left their jobs when their health declined. Each spent a decade traveling in search of relief from the agonies of progressing syphilis, writing under adverse conditions of ill health. Each was institutionalized with a diagnosis of General Paralysis of the Insane after a sudden breakdown.
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