The surgical diseases of the genito-urinary organs including syphilis . 113). * R. W. Taylors article in the American .Journal of Dermatology and Syphilog-raphy, January, 1871, is an excellent presentation of the subject. f Sometimes many bones on both hands are involved in different stages of the bonychanges, constituting dactylitis. In a patient, brought for advice by Dr. Wylie, severalof the first and some of the second phalanges, as well as several of the metacarpal bonesof both hands, showed the characteristic changes. In another (personal) case, the meta-carpo-phalangeal joint of the thu
The surgical diseases of the genito-urinary organs including syphilis . 113). * R. W. Taylors article in the American .Journal of Dermatology and Syphilog-raphy, January, 1871, is an excellent presentation of the subject. f Sometimes many bones on both hands are involved in different stages of the bonychanges, constituting dactylitis. In a patient, brought for advice by Dr. Wylie, severalof the first and some of the second phalanges, as well as several of the metacarpal bonesof both hands, showed the characteristic changes. In another (personal) case, the meta-carpo-phalangeal joint of the thumb and great toe on the right side were alone involved. X Fall von gummoscr (syphilitischer) Dactylitis, Arch, of Derm, and Syph., No. 2,1870, and Taylor, loc. cit. SYPHILITIC DACTYLITIS. 035 111 this second class of cases the swelling is mainly confined to thephalanx (most markedly its dorsal surface), and to the joint afTected,as there seems to be little, sometimes no disease of the more superficialstructures. The affection may run an acute or a chronic course. The. Fig. 113. integument becomes stretched and tense by the subjacent color grows pink or red, and it may be for a time sensitive, theresult of continued pressure. The nail does not suffer, even when thelast phalanx is involved. Appearances similar to those found in drycaries have been encountered after death in the affected gummy deposit, after producing great swelling of the bone by itsinfiltration, undergoes absorption without suppuration, as in dry caries,and results in loss of substance of the bone, which is not replaced bynew tissue. If very rapidly formed, the gummy deposit, here as else-where, may undoubtedly break down, and be eliminated this second form of the disease, changes sometimes occur in the jointsimilar to those already described for the first variety. Considerableeffusion may take place. The amount of pain complained of is veryslight, as in other syphilitic
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsyphilis, bookyear188
