But in proportion as the exciting cause grew ever more and more common, the _cunnilingue_ being now no longer contented with girls, but employing for the satisfaction of his shameful mania women and even pregnant women as well, and at last actually women during menstruation, the resulting consequences were bound to occur not only more frequently but also in a more dangerous form. At first it was merely single pustules, which appeared round the mouth and took possession of the chin, and which were confounded with _Sycosis menti_ (Sycosis,—fig-like eruption of the chin), a complaint liable to arise from other causes as well and one long since familiar, without attracting particular attention as anything uncommon. Later on when neither morbid vaginal phlegm nor yet menstrual blood repelled the _cunnilingue_ any longer, there was set up a diseased process in the cutaneous glands, the resulting secretion rapidly drying formed a white crust or scurf, and this was detached in flakes resembling bran. All this could not fail to arouse remark, and accordingly the Romans, little practised in medical diagnosis, saw in it a new disease, which in turn received a new name. Just as in more modern times the introduction of Venereal disease was attributed to a leprous Knight from the Holy Land, so now at Rome _Perusinus, eques Romanus, Quaestorius scriba_ (Perusinus, a Roman knight, a secretary in the Quaestorian office) was held responsible for bringing _mentagra_ from Asia. As a matter of fact he probably got his _mentagra_ in Asia in exactly the same manner in which it was acquired in Rome,—if indeed we are on general grounds to give any weight to this part of the story. At any rate modern times have given us many examples of how much credence mankind is ready to give to an account of the introduction of a disease by one definite individual. But the disease did not stop at the cutaneous glands, the hair-glands were also involved, the hair fell away, and ulcers formed, which spread around with destructive virulence, as was particularly the case in Martial’s day. On the other hand it is true deep-seated ulceration never supervened, but the disease rather extended on the surface from the face onwards, spreading more or less over the whole of the rest of the body[116], and thus assumed the form of Psora (Itch) or Lepra (Leprosy),—a phænomenon we shall have to return to once more later, its right appreciation being of the utmost importance for the History of Venereal Disease.