A manual of syphilis and the venereal diseases, . ll-conditioned serum. Thiscondition is often improperly termed syphilitic pem-phigus. In other cases there is born a viable childwith a specific exanthem either affecting one region (forexample, the palms and the soles) or extensively andeven generally evolved. In yet other cases the new-born infant may present at birth all the evidences ofsound health, and at a later date, before the close of thethird month, may develop insidiously the symptoms ofcutaneous disease. Every practitioner is suspicious ofan infant born into the world, even though l
A manual of syphilis and the venereal diseases, . ll-conditioned serum. Thiscondition is often improperly termed syphilitic pem-phigus. In other cases there is born a viable childwith a specific exanthem either affecting one region (forexample, the palms and the soles) or extensively andeven generally evolved. In yet other cases the new-born infant may present at birth all the evidences ofsound health, and at a later date, before the close of thethird month, may develop insidiously the symptoms ofcutaneous disease. Every practitioner is suspicious ofan infant born into the world, even though living, con-siderably under the average weight, weazened, yellow-tinted, and snuffling, with the appearance of a littleold man or a little old woman, and exhibiting oneor several blisters on the fingers or the toes. Theappearance of premature senility in these weazened andspeckled infants, with a flaccid skin which may be gath-ered between the fingers like that of some of the loweranimals, with a circlet of papules about the anus or the Plate Papulo-pustular exanthem of hereditary syphilis (Mracekj Ltih, Anst F. Reichhold. Minchen. HEREDITARY SYPHILIS. 203 mouth, with peculiar wrinkles extending laterally fromthe oral commissures, with a feeble stridulous cry, andwith obvious weakness, is often sufficient to enable oneto establish the diagnosis at a glance. A macular syphilodcrm in these infants has, in general,the shade observed in acquired cases, the differencebeing chiefly the larger size of the individual spots, theirmore pronounced shade, varying from a dull red to anempurpled hue, and their tendency to desquamate andsecrete in regions of friction, pressure, and color in some feeble and weazened children is acharacteristically dirty brown, rarely imitated in anynon-syphilitic infant. This exanthem may disappear orrecur or be followed by others of a graver type. The papular syphiloderm of inherited disease is rarelyas generalized, as dry, or constituted of
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