Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 133.— Rheumatic Torticollisin a Child 6 Years Old. whichgreatly resembled Cervical Spon-dylitis. (Sheffield.) RHEUMATISMUS ACUTUS. 419 Differentialdiagnosis. that its course is promptly and often permanently influenced bythe salicylates. Epiphysitis Syphilitica.—Develops slowly, in the first fewmonths of life—rather exceptional for rheumatism—in associa-tion with other symptoms of congenital syphilis. It runs an afebrileafebrile course and yields promptly to a
Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . Fig. 133.— Rheumatic Torticollisin a Child 6 Years Old. whichgreatly resembled Cervical Spon-dylitis. (Sheffield.) RHEUMATISMUS ACUTUS. 419 Differentialdiagnosis. that its course is promptly and often permanently influenced bythe salicylates. Epiphysitis Syphilitica.—Develops slowly, in the first fewmonths of life—rather exceptional for rheumatism—in associa-tion with other symptoms of congenital syphilis. It runs an afebrileafebrile course and yields promptly to antisyphilitic medication. Arthritis Heredosyphilitica (Tarda).—Develops gradually,. Fig. 134.—Same case as Fig. 133. Three weeks later. (Sheffield.) Mild sub-jective symp- and affects principally one or both knees. It is usually associatedwith other syphilitic symptoms, especially parenchymatouskeratitis. As a rule, the subjective disturbances are incongruouswith the severity and extent of the local signs, and the arthritis tomsis but rarely accompanied by inflammatory symptoms. It yieldspromptly to antisyphilitic medication. Puncture of the swelling spirochetereveals serofibrinous fluid and not rarely the spirochete. Arthritis Gonorrhceica.—It occurs as a complication ofgonorrheal ophthalmia, urethritis or vulvovaginitis. It is most Gonorrheal 1 ° history. frequently limited to one knee, more rarely to both knees, or themaxillary or sternal articulations, and is accompanied bv pro-nounced inflammatory local and general symotoms. The articular 420 COMMUNICABLE DISEASES. involvement is more lasting than that of acute rheumatism, andresists antirheumatic measures.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191
