The diseases of infants and children . Fig. 193.—Hydrarthrosis in Later Hereditary of Dr. J. F. Schamberg. The incisor teeth of the second dentition, especially the two uppercentral ones, show very characteristic changes, described by Hutchinson^. Fig. 194.—Hutchinsons Teeth in Later Hereditary of Dr. J. F. Schamberg. (Fig. 194), They are far apart and small, with notching of the cutting surface. In other cases they are tapering and characteristically peg- 1 Brit. Med. Journ., 1858, II, 822. SYPHILIS 577 shaped. Mucous placques and ulcers appear on the mucou
The diseases of infants and children . Fig. 193.—Hydrarthrosis in Later Hereditary of Dr. J. F. Schamberg. The incisor teeth of the second dentition, especially the two uppercentral ones, show very characteristic changes, described by Hutchinson^. Fig. 194.—Hutchinsons Teeth in Later Hereditary of Dr. J. F. Schamberg. (Fig. 194), They are far apart and small, with notching of the cutting surface. In other cases they are tapering and characteristically peg- 1 Brit. Med. Journ., 1858, II, 822. SYPHILIS 577 shaped. Mucous placques and ulcers appear on the mucous membraneof the mouth, tongue and pharynx, and alterations of the larynx maydevelop. Enlargement of the lymphatic glands, referred to as seen in infancy,becomes more common after the 1st year. The nervous system is involvedin many diverse ways in the later symptoms of hereditary syphilis, al-though not as frequently as in adults. The pseudo-paralysis describedappears exceptionally to be of nervous origin. Paralysis of the cranialnerves may occur dependent upon meningitis, encephalitic processes theresult of endarteritis, or gummatous growths. Retarded mental develop-ment perhaps not appearing until later childhood, idiocy, and epilepsyhave been described
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