. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 105.—This shows another view of the same hand shown in Fig. 104. suit of a gummatous condition is of rare occurrence. Portionsof the bone may be destroyed, giving much the same x-ray ap-pearance as is seen in chronic gout, that is a punched out area BONES, JOINTS, MUSCLES, TENDONS AND BUESiE 251. • Fig. 106.—In the same case shown in the two preceding figures the phalanges showconsiderable destruction o£ bone. (Roentgenogram by Dr. Walter Van Sweringen.) in the shaft of the bone. Large porti


. Syphilis : a treatise on etiology, pathology, diagnosis, prognosis, prophylaxis, and treatment . Fig. 105.—This shows another view of the same hand shown in Fig. 104. suit of a gummatous condition is of rare occurrence. Portionsof the bone may be destroyed, giving much the same x-ray ap-pearance as is seen in chronic gout, that is a punched out area BONES, JOINTS, MUSCLES, TENDONS AND BUESiE 251. • Fig. 106.—In the same case shown in the two preceding figures the phalanges showconsiderable destruction o£ bone. (Roentgenogram by Dr. Walter Van Sweringen.) in the shaft of the bone. Large portions of the shaft may en-tirely disappear and a shortening of the extremities most recent contribution to bone syphilis is the observation 252 SYPHILIS of vertebral involvement though it was recognized by Fonrnierin 1881 and in the writings of Froelick, Feltgen, Joachimsthal,who wrote extensively from 1902 to 1904. More recently Eamsey Hunt of New York reviewed the litera-ture and found that out of 100 cases reported, the cervical regionwas by far the point of choice and that the frequency diminishesas one goes down the spine. The symptomatology of syphilisof the spine does not differ essentially from that of other af-fections of the spine, and consists especially of pain, tenderness,rigidity, and deformity. When the vertebral body is destroyed,the symptoms are not unlike th


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsyphilis, bookyear192