A textbook of obstetrics . ,manifests great variety in the tissues attacked and the lesionsproduced. Thus there are bullous eruptions of the skin, condy-lomata, and inflammations of the mucous membranes, inflamma-tions of the serous membranes, gummatous and miliar)- deposits, 1 See Tarnier et Budin, op. cit, ; Priestley, loc. (it. : \. Hutchinson, BritishMed. Jour., Feb., 1886, p. 239; Harvey, Fetus in Utero, 1886; (i. S. West, Am. Jour. I Obstetrics, 1885, p. 182. 2 Syphilis et Manage. 8 Zeitschr. f. Geburtsh.,1 Bd. \, Strii kei s Jahrb., 1875, p. 476. entralbl. 1. <.vn., 1880, p. 360
A textbook of obstetrics . ,manifests great variety in the tissues attacked and the lesionsproduced. Thus there are bullous eruptions of the skin, condy-lomata, and inflammations of the mucous membranes, inflamma-tions of the serous membranes, gummatous and miliar)- deposits, 1 See Tarnier et Budin, op. cit, ; Priestley, loc. (it. : \. Hutchinson, BritishMed. Jour., Feb., 1886, p. 239; Harvey, Fetus in Utero, 1886; (i. S. West, Am. Jour. I Obstetrics, 1885, p. 182. 2 Syphilis et Manage. 8 Zeitschr. f. Geburtsh.,1 Bd. \, Strii kei s Jahrb., 1875, p. 476. entralbl. 1. <.vn., 1880, p. 360. 8Britisb Med. Jour., 1886, i, 239. Wien. med. Presse, 29, 30, lSSv? Abstracl in V Y. Med. Record, April [2, 1887. 9 The author has seen a woman impregnated by a healthy man, but infected withsyphilis in the third month i pregnancy, give birth t a child with a pemphigoid eruption upon it and a liver twice the normal size. PLATh Head of femur removed from a fetus expelled, dead and macerated, at theseventh month. The liver weighed one tenth of th< body-weight; the spleen, oneforty-eighth. 1 in- mother was infected with syphilis one year before ^author s ca?e,Philadelphia Hospital). THE DISEASES OF THE FETUS. I 53 and morbid growth of connective tissue in the brain, lungs, pan-creas, kidneys, liver, and spleen, the muscular system, and thecoats of the intestines and walls of the blood-vessels, and a char-acteristic osteitis and osteochondritis. Prognosis.—The influence of syphilis upon intra-uterine life ismost unfavorable. If the fetus is not destroyed before it has be-come viable, it is often born with signs of retarded development,performing in an imperfect manner its vital functions, or else ex-hibiting well-marked signs of disease in an enlarged abdomen, dueto ascites, to enlarged liver or spleen ; nodes in the lungs orin the bronchial^glands ; hydrocephalus ; separation of the epiphy-ses of the long
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