SYPHILIS OF THE STOMACH

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Abstract
The presence in gastric lesions of spirochetes having the morphologic characteristics of Spirochaetae pallidae is generally considered proof positive that the underlying disease is syphilitic. Even when the histologic changes are not syphilitic in type the occurrence of these spirochetes, according to current view, stamps the process as syphilitic. The correctness of these statements can be readily affirmed by reference to almost any text or periodical dealing with gastric syphilis. Luria,1whose monograph represents the most comprehensive and recent survey of the subject, after emphasizing the difficulties in distinguishing, by histologic means alone, syphilitic from other gastric lesions, wrote: It would be particularly valuable, therefore, if one were to succeed in finding spirochetes in microscopic sections of the stomach, especially in specimens obtained by operation. Such a finding furnishes naturally unequivocal proof of the syphilitic origin of the pathological process and helps to interpret the histological picture in questionable

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