Modern surgery, general and operative . ularly painless but marked symmetricaleffusion in the knee-joints, with trivial functionaldisturbance; ? ossifying nodes; developmentalosseous defects; suppurative periostitis; ulcer-ations; death of bone; falHng in of the nose;nervous maladies; occasionally sarcocele, dactylitis, etc. SyphiUtic childrenare rather prone to contract tuberculosis. Ricord used to speak of the scrofulaof pox. Bones, joints or viscera may become tuberculous. The Wassermanntest is of great value in diagnosis and prognosis. Dactylitis (Fig. 167) is common in hereditary syphihs.
Modern surgery, general and operative . ularly painless but marked symmetricaleffusion in the knee-joints, with trivial functionaldisturbance; ? ossifying nodes; developmentalosseous defects; suppurative periostitis; ulcer-ations; death of bone; falHng in of the nose;nervous maladies; occasionally sarcocele, dactylitis, etc. SyphiUtic childrenare rather prone to contract tuberculosis. Ricord used to speak of the scrofulaof pox. Bones, joints or viscera may become tuberculous. The Wassermanntest is of great value in diagnosis and prognosis. Dactylitis (Fig. 167) is common in hereditary syphihs. There is a super-ficial and a deep form (see page 380). Commonly, a swelling gradually is fusiform in shape and becomes purple in color. It lasts for months. Oneor more fingers may be involved and the fingers are more apt to suffer than thetoes. The proximal phalanx is most liable to the lesion. The superficialform is apt to soften and ulcerate. Sinuses seldom form. The deep form^ Coutts, in Brit. Med. Jour., 1894, p. Hutchinson teeth. 390 S>philis, or Pox not infrequently causes tissue destruction and shortening of the digit fromrarefying osteitis or dry caries. Some cases of superficial dactylitis are sym-metrical and of short duration and are to be regarded as late secondary lesions. In hereditary syphilis the eye svTnptoms are of great diagnostic 212 cases of congenital syphilis Fournier found eye trouble in loi. Kera-titis and choroiditis are the most usual forms. Bone trouble occurs in almosthalf of the cases, but is not often severe enough to cause symptoms. Thetongue often shows a smooth base (Virchows sign). It is due to lymphoidatrophy and fibrosis (Symmers, inAmer. Jour. Med. Sci.,Dec., 1910). Hirsch-berg believed choroiditis to be pathognomonic. The descendants of syphiliticparents may exhibit certain pathological conditions which are not directlys^-philitic. Fournier calls such phenomena paras\philitic. Among thesephenomena are arr
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