. The ready-reference handbook of diseases of the skin. tle, if any,ulceration. It rarely relapses. It differs from pemphigusin occurring upon the palms and soles, while sparing thetrunk, and in the profound cachexia and the presence of othersigns of syphilis. The tubercular syphilide is not common, and is always alate lesion. While it may be seen as early as the sixthmonth, it is more apt to occur much later as a relapsing SYPHILIS. 509 syphilide. In appearance and course it resembles the samelesion of acquired syphilis. The gummatous syphilide is also a late manifestation ofdisease, and is s
. The ready-reference handbook of diseases of the skin. tle, if any,ulceration. It rarely relapses. It differs from pemphigusin occurring upon the palms and soles, while sparing thetrunk, and in the profound cachexia and the presence of othersigns of syphilis. The tubercular syphilide is not common, and is always alate lesion. While it may be seen as early as the sixthmonth, it is more apt to occur much later as a relapsing SYPHILIS. 509 syphilide. In appearance and course it resembles the samelesion of acquired syphilis. The gummatous syphilide is also a late manifestation ofdisease, and is sometimes met with in early adult life as alesion of congenital syphilis. Kaposi regards as a special and characteristic symptomof hereditary syphilis a diffused infiltration of the palmsand soles, the skin of which is uniformly brownish-red, dry,shiny, and fissured. Besides the skin-lesions the infant bears certain unmistak-able signs of syphilis. It has a marked pallor, and, no mat-ter how blooming it may appear at first, it soon loses flesh Fig. Hutchinsons teeth. and assumes an old man countenance. It has a charac-teristic, hoarse, toneless cry, which once heard will be re-membered. Its hair is scanty, its nose is apt to be flattened,and altogether it is a most woebegone-looking object. Theskin eruptions usually occur within the first six months oflife, and if the child can be brought through that period itmay suffer no more. Nevertheless, congenital syphilis, likethe acquired disease, may be latent for years to crop outonce more. The victims of congenital syphilis sometimesshow the notched or peg-shaped teeth regarded by Hutchin- 510 DISEASES OF THE SKIN, son as a certain sign of the disease. (Fig. 61.) This ap-pearance is presented by the second set of teeth only, andis not absolutely diagnostic, as the same has been met within scrofula. The two middle upper incisors are those whichare depended on for diagnosis. They are small, oftenconverging, sometimes diverging. Th
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Keywords: ., bo, bookcentury1800, bookdecade1890, booksubjectskin, bookyear1896
