An American text-book of genito-urinary diseases, syphilis and diseases of the skin . y much more serioustrouble than osteo-periostitis. The cranial bones, especially the frontal orthe parietal, may be attacked, the gummatous deposit occupying the two tables of the skull are thus separated and caries or necrosis results,with frequently a perforation either externally or internally. In this mannerone or more of the cranial bones may be riddled with holes or marked withpit-like depressions. A syphilitic periostitis or a syphilitic pachymeningitis,with an accompanying loss of the crani


An American text-book of genito-urinary diseases, syphilis and diseases of the skin . y much more serioustrouble than osteo-periostitis. The cranial bones, especially the frontal orthe parietal, may be attacked, the gummatous deposit occupying the two tables of the skull are thus separated and caries or necrosis results,with frequently a perforation either externally or internally. In this mannerone or more of the cranial bones may be riddled with holes or marked withpit-like depressions. A syphilitic periostitis or a syphilitic pachymeningitis,with an accompanying loss of the cranial bones between the two, due to ararefying osteitis, is a quite common condition in the late stages of the many distinct foci of disease coalesce great destruction of tissue mayoccur, resulting sometimes in the almost entire loss of one or more cranialbones, thus exposing the dura mater. Figs. 211 and 212, photographed fromspecimens in the Army Medical Museum, exhibit thickening, exostoses,ulceration and perforation of the skull, and syphilitic caries and perforation. Fig. 213.—Destruction of facial bones due to syphilis. of frontal bone. These lesions are chiefly limited to the cranial and facialbones, though the long bones may be similarly affected. Cases have beenrecorded in which almost every piece of the skeleton was involved, eithersimultaneously or successively, with either nodes, caries, necroses, or exos-toses. When the bones of the face are attacked by gummatous osteo-per-iostitis, the periosteum becomes stripped from the bone and a necrosis andexfoliation of bone result. If the nasal and palate bones become involved,the nasal and oral cavities are frequently thrown into one. Necrosis nearly OSSEOUS LESIONS OF HEREDITARY SYPHILIS. 657 always follows syphilitic involvement of the nasal bones, producing thepeculiar deformity of the flattened nose, due to a prominence of the lowersoft parts and a sinking in of the upper portion of the nose. Destructionof


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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis