An American text-book of genito-urinary diseases, syphilis and diseases of the skin . frequently the proximal one, is usuallyinvolved, though the whole finger may be included. Occasionally the meta-carpal bones and the distal phalanges are attacked. Several fingers or toesmay be involved at the same time or successively. The toes are usuallyaffected in their entire length. Not long after the development of this affec-tion, symptoms of joint-involvement appear, and flexion becomes impairedby the swelling. This condition, left untreated, is followed by an abnormalmobility of the joint. Fig. 214.
An American text-book of genito-urinary diseases, syphilis and diseases of the skin . frequently the proximal one, is usuallyinvolved, though the whole finger may be included. Occasionally the meta-carpal bones and the distal phalanges are attacked. Several fingers or toesmay be involved at the same time or successively. The toes are usuallyaffected in their entire length. Not long after the development of this affec-tion, symptoms of joint-involvement appear, and flexion becomes impairedby the swelling. This condition, left untreated, is followed by an abnormalmobility of the joint. Fig. 214.—Sabre-1 lade deformity of thetibia? in hereditary syphilis (after Hyde-Montgomery). 660 SYPHILIS OF THE BONES. The process runs a chronic course, and in the early stage responds totreatment, but, if neglected, effusion into the joint, destruction of the car-tilages and other joint-structures, with permanent loss of motion, may result. The second variety commences as a specific osteitis or osteo-myelitis, withaccompanying inflammation of the periosteum, and may pursue either an. Fig. 215.—Syphilitic dactylitis (alter Chapin). acute or a chronic course, as a rule progressing rapidly if occurring earlyafter infection. Like the first variety, it may affect one or several phalangesof a single digit, usually the proximal one, and more frequently those of thefingers than of the toes. The metacarpal or metatarsal bones, especiallythose of the index finger and thumb, may be involved at the same time.
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Keywords: ., bookcentury1800, bookdecade1890, booksubject, booksubjectsyphilis
