. The practice of pediatrics. Fig. —Showing saber deformity of legs in ter-tiary congenital syphilis in a child nine years of age(Dr. Sill). SYPHILIS 667 is a rarefying periostitis leading to bone absorption. This condition isseen on the surface of the cranial bones and causes the formation ofrough areas (caries sicca). Joint affections may occur in late hereditary syphilis in the form ofa simple hydrops without capsular thickening or a hyperplastic there may be a combination of hydrarthrosis, with swelling of thejoint-ends of the hollow bones, and in rare instances a cond
. The practice of pediatrics. Fig. —Showing saber deformity of legs in ter-tiary congenital syphilis in a child nine years of age(Dr. Sill). SYPHILIS 667 is a rarefying periostitis leading to bone absorption. This condition isseen on the surface of the cranial bones and causes the formation ofrough areas (caries sicca). Joint affections may occur in late hereditary syphilis in the form ofa simple hydrops without capsular thickening or a hyperplastic there may be a combination of hydrarthrosis, with swelling of thejoint-ends of the hollow bones, and in rare instances a condition resem-bling white swelling. Symptoms.—This form of syphilis in the young may manifest itselfin widely different ways. Errors in Nutrition (see p. 669).—A not infrequent manifestationis that of moderate malnutrition and stunted growth. The patient ishabitually pale, undersized, and shows lack of resistance, and suchevidences may be the only signs of the Fig. 106.—Hutchinson teeth. The Bones.—Characteristic signs are to be found in the bones andteeth. The shafts of the long bones are involved in a periostitis. (SeeFig. 105.) The tibia when affected may show the saber tibiae are most frequently involved; next in frequency, the may involve the flat bones of the cranium, although such anoccurrence is comparatively rare. The saddle nose caused by adestruction of the septum is a condition not infrequently seen in con-genital syphilis. The Teeth.—Fairly characteristic signs, first described by Hutchin-son, are often shown by the second set of teeth. The first set in no waygive evidence of the disease. Hutchinsons teeth represent faulty de-velopment. They are variously described, according to the deformitypresented, as notched, screw-driver, and peg-shaped. (See Fig. 106.) 668 THE PRACTICE OF PEDIATRICS Ly?nph-nodes.—The only lymph-node involvement of significanceis that of the epitrochlears. General lymph
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
