The diseases of infants and children . taneous eruption at first and the earliest evidence of it in anyform appears generally about a week after the development of the eruption may be circumscribed or diffuse. The cir cunt scribed formis much tlie same as that found in acquired syphilis. It is oftenestmaculo-papular, and occurs in the shape of small, slightly elevated,pea-sized or larger macules associated with papules more or less numerous,situated especially upon the lower extremities, the face, scalp, neck,and flexor surfaces of the upper extremities, the palms and soles. Scaling


The diseases of infants and children . taneous eruption at first and the earliest evidence of it in anyform appears generally about a week after the development of the eruption may be circumscribed or diffuse. The cir cunt scribed formis much tlie same as that found in acquired syphilis. It is oftenestmaculo-papular, and occurs in the shape of small, slightly elevated,pea-sized or larger macules associated with papules more or less numerous,situated especially upon the lower extremities, the face, scalp, neck,and flexor surfaces of the upper extremities, the palms and soles. Scalingmay be present upon the surface. It is unattended by itching andvaries in color from coppery-red to brown or yellowish according to theage of the lesion. Alisorption may take place in the center, i)roducingin some cases a well-ninrkcd annular appearance (Fig. 184). In certainregions there may develop fhitt(MUHl elevations with moist surfaces—the moist condyloma or mucous patcli. These are commonest about 568 THE DISEASES OF CHILDREN. Fig. lb>4.—Hereditary Syphilis, Maculo-papular degree of annular appearance. Courtesy of Dr. J. F. Schamberg.


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