The surgical diseases of children . er syphilitic nor rickety, but simply ill-nourished. Certainly, agreat proportion of chil-dren with cranio-tabes aresyphilitic; Barlow andLees think even at so higha percentage as the fact of the con-dition being frequentlyassociated with laryngis-mus stridulus suggests itsdependence on rickets. Cranial bosseshave been described byM. Parrot as proof of here-ditary syphilis. They areflat, bony elevations of the frontal and parietal bones atthe corners of the anterior fontanelle; their presenceis detected, if not by the eye, by running the hand
The surgical diseases of children . er syphilitic nor rickety, but simply ill-nourished. Certainly, agreat proportion of chil-dren with cranio-tabes aresyphilitic; Barlow andLees think even at so higha percentage as the fact of the con-dition being frequentlyassociated with laryngis-mus stridulus suggests itsdependence on rickets. Cranial bosseshave been described byM. Parrot as proof of here-ditary syphilis. They areflat, bony elevations of the frontal and parietal bones atthe corners of the anterior fontanelle; their presenceis detected, if not by the eye, by running the handover the skull. In some cases the masses are veryprominent, and appear as sudden upheavals of theexternal table, so that the outline of the head is sug-gestive of a hot-cross bun ; the head is often spokenof as natiform (Fig. 4). It is uncertain to what extentthese bosses may be taken as evidence of syphilis; asimilar condition is met with in the rickety child. If interstitial keratitis take place, it will * Trans. Path. Soc. 1- —Frontal Hosses in a Syphi-litic Child. 74 The Surgical Diseases of Children. probably be when the child is between the ages of fiveand fifteen years, and it may be with or without iritis,more often without. A central haziness appears inthe cornea, which may gradually extend towards theperiphery. Thus, the cornea looks like ground-glass,some parts of it being more flecked than the cornea is studded over with fine whitedots, which remain separate, and each cornea may be im-plicated. These lesions may be unassociated with photo-phobia or lachrymation. It is surprising how, undermercurial treatment, the cloudiness fades away,though frequently a slight opacity persists; the pu-pillary border of the iris mayremain irregular, from nodulardeposits of lymph and from ad-hesions. Deafness, which is not acommon symptom of hereditarysyphilis, may be the result ofrig. Teeth. an inflammatory thickening ofthe middle ear or Eustach
Size: 1559px × 1602px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
