Abstract
In presenting this report on primary syphilis of the anorectal region, we are constrained to mention the fact that proctology seems to be the one outstanding field wherein the charlatan still prospers. This situation is directly due to the distressing lack of systematic and comprehensive examinations of the anus, rectum and colon. When one considers that the majority of rectal carcinomas are discovered in the advanced, inoperable stage, having usually been treated for months as intestinal indigestion or piles, and with the knowledge that 85 per cent, of the people suffer from some form of anorectal disease, it is difficult to understand why an examination of the rectum and anus is so commonly omitted. In the course of our work in the rectal clinic of the Detroit city physician's office and Receiving Hospital, we are impressed with the large number of cases of primary syphilis involving the anorectal region. This
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