THE PRIMARY STAGE— FRAMBCESOMA 



1543 



her child astride of the hip. Any framboetic element present on 

 the scrotum or nates of the child, being continually rubbed against 

 the skin of the mother, is likely to cause infection in the latter 

 through any slight abrasion already present, or brought about by 

 the friction. In men and children the primary lesion is frequently 

 found on the hands, arms, and legs, but it may develop on any 

 part of the body. 



Fig. 688. — Child with General Granulomatous Eruptions, and 

 Mother with the Primary Lesion (Framboesoma) on the Left Mamma. 



The primary lesion or framboesoma may heal before the general 

 eruption begins, but, as a rule, is still present when the secondary 

 eruption appears. We observed a case in which the primary lesion 

 was still present six months after its first appearance, and when 

 the secondary granulomatous eruption had nearly undergone com- 

 plete involution. The duration of the primary lesion, therefore, 

 may vary between a few weeks and several months. The primary 

 lesion leaves a whitish scar, which later on may become pigmented. 



